| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,789 |
4,437 |
$960K |
| J9035 |
Injection, bevacizumab, 10 mg |
5,509 |
4,293 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,194 |
7,036 |
$247K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,840 |
5,829 |
$245K |
| 92134 |
|
10,514 |
10,088 |
$226K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,994 |
4,849 |
$170K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,915 |
5,795 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,289 |
2,284 |
$131K |
| V2020 |
Frames, purchases |
5,908 |
5,888 |
$101K |
| 92015 |
Determination of refractive state |
10,834 |
10,813 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,859 |
2,801 |
$75K |
| 92341 |
|
1,713 |
1,707 |
$52K |
| 92250 |
|
1,458 |
1,447 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,706 |
1,701 |
$35K |
| 92133 |
|
973 |
969 |
$24K |
| 92002 |
|
700 |
697 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
15 |
$11K |
| 67228 |
|
39 |
37 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
301 |
$6K |
| 2022F |
|
3,371 |
3,254 |
$3K |
| 92083 |
|
117 |
115 |
$3K |
| J3590 |
Unclassified biologics |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
86 |
$1K |
| 92226 |
|
40 |
40 |
$1K |
| 92082 |
|
33 |
32 |
$750.95 |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$679.56 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
18 |
$460.80 |
| 92202 |
|
70 |
69 |
$411.85 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
16 |
$262.56 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$234.00 |
| 92020 |
|
13 |
13 |
$185.19 |
| 2026F |
|
2,359 |
2,319 |
$68.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$34.00 |
| 2024F |
|
2,579 |
2,537 |
$0.02 |
| 2021F |
|
981 |
954 |
$0.01 |
| 2023F |
|
1,082 |
1,077 |
$0.00 |
| 3072F |
|
127 |
124 |
$0.00 |
| 2033F |
|
177 |
176 |
$0.00 |
| 4177F |
|
102 |
95 |
$0.00 |