| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,797 |
2,328 |
$237K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,437 |
2,874 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,379 |
1,017 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,001 |
701 |
$29K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
781 |
426 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,595 |
1,137 |
$20K |
| J0178 |
Injection, aflibercept, 1 mg |
66 |
26 |
$11K |
| 92370 |
|
1,565 |
1,346 |
$9K |
| 92250 |
|
425 |
303 |
$7K |
| 92134 |
|
748 |
475 |
$6K |
| 92083 |
|
84 |
61 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
104 |
$1K |
| 92133 |
|
72 |
48 |
$925.29 |
| 92020 |
|
79 |
48 |
$208.42 |
| 92225 |
|
92 |
29 |
$109.31 |
| 92275 |
|
21 |
13 |
$96.13 |
| 83516 |
|
30 |
15 |
$0.00 |
| 83861 |
|
54 |
27 |
$0.00 |