| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,341 |
14,046 |
$672K |
| 99243 |
|
4,825 |
4,487 |
$377K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,923 |
1,160 |
$353K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,390 |
4,134 |
$279K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,750 |
2,630 |
$218K |
| V2020 |
Frames, purchases |
1,228 |
1,216 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,125 |
1,955 |
$115K |
| 92567 |
|
6,243 |
5,911 |
$104K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,210 |
1,388 |
$85K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
167 |
164 |
$71K |
| 92557 |
|
1,322 |
1,267 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,138 |
960 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,561 |
838 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,366 |
1,284 |
$48K |
| 92134 |
|
5,984 |
4,198 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
426 |
406 |
$46K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
313 |
236 |
$45K |
| 92015 |
Determination of refractive state |
5,689 |
5,199 |
$41K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
986 |
981 |
$35K |
| 86003 |
|
248 |
133 |
$33K |
| J0178 |
Injection, aflibercept, 1 mg |
51 |
38 |
$32K |
| 92587 |
|
674 |
640 |
$22K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
835 |
833 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
798 |
702 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
312 |
211 |
$8K |
| 92588 |
|
115 |
110 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
27 |
$3K |
| 70220 |
|
29 |
28 |
$2K |
| 92285 |
|
34 |
24 |
$521.12 |
| 92083 |
|
30 |
25 |
$434.33 |
| 92555 |
|
31 |
31 |
$341.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$270.00 |
| 92133 |
|
37 |
26 |
$249.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |