| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,680 |
2,680 |
$1.17M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
687 |
591 |
$542K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,323 |
2,419 |
$219K |
| V2020 |
Frames, purchases |
10,339 |
10,317 |
$209K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,588 |
4,587 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,924 |
2,921 |
$178K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,791 |
7,777 |
$165K |
| 92134 |
|
5,424 |
4,253 |
$149K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,207 |
3,195 |
$101K |
| 92250 |
|
2,607 |
2,598 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,326 |
2,296 |
$81K |
| 92133 |
|
2,481 |
1,858 |
$68K |
| 92341 |
|
2,088 |
2,085 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,087 |
1,087 |
$61K |
| 92015 |
Determination of refractive state |
7,131 |
7,129 |
$55K |
| 92082 |
|
1,577 |
1,575 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,169 |
2,123 |
$48K |
| 68761 |
|
282 |
277 |
$33K |
| 92136 |
|
665 |
659 |
$29K |
| 92202 |
|
1,996 |
1,366 |
$26K |
| 92020 |
|
1,134 |
1,128 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
527 |
505 |
$14K |
| 76514 |
|
627 |
624 |
$5K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$3K |
| 92083 |
|
254 |
254 |
$2K |
| V2744 |
Tint, photochromatic, per lens |
27 |
27 |
$0.00 |