| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,475 |
1,037 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,216 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,489 |
2,100 |
$37K |
| 92134 |
|
2,204 |
1,703 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,237 |
1,069 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
667 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
460 |
405 |
$16K |
| 92133 |
|
1,289 |
942 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
368 |
368 |
$15K |
| 92083 |
|
864 |
639 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
563 |
525 |
$8K |
| 92015 |
Determination of refractive state |
1,422 |
1,251 |
$5K |
| 92250 |
|
261 |
197 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
49 |
$2K |
| 92020 |
|
212 |
159 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
39 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
26 |
12 |
$178.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$143.67 |