| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,722 |
1,363 |
$278K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,604 |
3,267 |
$95K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,389 |
1,087 |
$91K |
| 92134 |
|
2,452 |
2,404 |
$37K |
| 92250 |
|
1,075 |
1,071 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
468 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
418 |
415 |
$12K |
| 68761 |
|
142 |
142 |
$11K |
| 92235 |
|
176 |
176 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
248 |
247 |
$7K |
| V2020 |
Frames, purchases |
471 |
471 |
$6K |
| 92133 |
|
217 |
217 |
$4K |
| 92083 |
|
239 |
238 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
198 |
198 |
$3K |
| 92015 |
Determination of refractive state |
464 |
461 |
$2K |
| 76512 |
|
54 |
47 |
$1K |
| 92202 |
|
186 |
184 |
$1K |
| 92020 |
|
106 |
105 |
$947.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$816.00 |
| 92341 |
|
25 |
25 |
$638.22 |
| 99024 |
|
369 |
248 |
$0.00 |