| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
6,186 |
4,447 |
$491K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,799 |
4,403 |
$319K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,568 |
6,153 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,615 |
11,960 |
$213K |
| 92134 |
|
12,740 |
9,231 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,824 |
4,919 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,696 |
4,761 |
$125K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,115 |
2,816 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,121 |
1,655 |
$100K |
| 92136 |
|
9,259 |
5,573 |
$74K |
| 92083 |
|
3,690 |
2,982 |
$69K |
| 92015 |
Determination of refractive state |
4,496 |
3,589 |
$64K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,576 |
1,239 |
$57K |
| 92133 |
|
4,603 |
3,703 |
$53K |
| 92235 |
|
1,436 |
1,073 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,593 |
1,164 |
$32K |
| V2020 |
Frames, purchases |
1,983 |
1,390 |
$30K |
| 93890 |
|
591 |
439 |
$27K |
| 93886 |
|
642 |
468 |
$26K |
| 93892 |
|
615 |
453 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
883 |
575 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,872 |
1,471 |
$19K |
| 92250 |
|
1,208 |
942 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
436 |
368 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,512 |
721 |
$12K |
| 66183 |
|
57 |
38 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
217 |
180 |
$6K |
| 92020 |
|
1,119 |
856 |
$5K |
| 67228 |
|
57 |
24 |
$3K |
| J0178 |
Injection, aflibercept, 1 mg |
41 |
24 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
59 |
54 |
$1K |
| 92225 |
|
144 |
98 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
57 |
27 |
$684.18 |
| 92002 |
|
19 |
13 |
$405.99 |
| 92341 |
|
13 |
13 |
$347.64 |
| 76514 |
|
103 |
85 |
$305.01 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
12 |
$30.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,598 |
1,212 |
$24.00 |
| J7999 |
Compounded drug, not otherwise classified |
26 |
16 |
$14.63 |
| 99024 |
|
147 |
121 |
$0.00 |