| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14,532 |
12,581 |
$1.10M |
| J0178 |
Injection, aflibercept, 1 mg |
489 |
435 |
$484K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
5,338 |
4,540 |
$482K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,928 |
14,492 |
$305K |
| 92370 |
|
18,308 |
16,382 |
$122K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,796 |
1,263 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,329 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,571 |
1,405 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
338 |
305 |
$28K |
| 92134 |
|
2,393 |
2,200 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
683 |
657 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
312 |
245 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
253 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
36 |
27 |
$4K |
| 92235 |
|
40 |
38 |
$2K |
| 92002 |
|
29 |
29 |
$1K |
| 92341 |
|
38 |
37 |
$795.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$554.02 |
| J9035 |
Injection, bevacizumab, 10 mg |
32 |
26 |
$493.47 |
| 92250 |
|
41 |
39 |
$453.66 |
| 92015 |
Determination of refractive state |
100 |
94 |
$413.59 |
| 92136 |
|
29 |
28 |
$98.64 |