| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,103 |
3,598 |
$842K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,230 |
11,104 |
$761K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
440 |
308 |
$314K |
| 92201 |
|
6,605 |
5,508 |
$213K |
| 92134 |
|
7,294 |
6,034 |
$193K |
| 92002 |
|
4,233 |
3,659 |
$191K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
5,588 |
3,357 |
$184K |
| 92015 |
Determination of refractive state |
6,885 |
5,789 |
$164K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,434 |
1,265 |
$154K |
| 67228 |
|
151 |
74 |
$78K |
| 76519 |
|
677 |
502 |
$61K |
| 68761 |
|
546 |
431 |
$59K |
| 92202 |
|
834 |
693 |
$18K |
| 92250 |
|
582 |
433 |
$17K |
| 92225 |
|
1,511 |
609 |
$16K |
| 92226 |
|
1,604 |
859 |
$12K |
| 92133 |
|
563 |
465 |
$11K |
| 92083 |
|
215 |
166 |
$6K |
| 67210 |
|
15 |
12 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
26 |
$3K |
| 92235 |
|
12 |
12 |
$979.32 |
| 76514 |
|
35 |
28 |
$302.40 |
| 92285 |
|
13 |
12 |
$246.35 |
| 2022F |
|
285 |
283 |
$0.00 |
| 68200 |
|
123 |
99 |
$0.00 |
| 2023F |
|
53 |
41 |
$0.00 |
| 99024 |
|
41 |
29 |
$0.00 |