| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,608 |
8,389 |
$394.09 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,874 |
1,873 |
$254.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,223 |
4,214 |
$251.34 |
| V2020 |
Frames, purchases |
1,059 |
1,057 |
$191.79 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,595 |
3,390 |
$124.21 |
| 92134 |
|
6,511 |
6,256 |
$78.66 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,008 |
3,006 |
$49.78 |
| 92250 |
|
1,040 |
1,023 |
$42.13 |
| 92083 |
|
632 |
587 |
$30.51 |
| 92133 |
|
524 |
494 |
$11.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,615 |
2,521 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,491 |
2,303 |
$0.00 |
| 92235 |
|
219 |
219 |
$0.00 |
| 92285 |
|
338 |
335 |
$0.00 |
| 92136 |
|
158 |
122 |
$0.00 |
| 92060 |
|
24 |
24 |
$0.00 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
39 |
39 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$0.00 |
| 92015 |
Determination of refractive state |
1,595 |
1,587 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
15 |
15 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,434 |
3,410 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
3,562 |
3,363 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
533 |
533 |
$0.00 |
| 92341 |
|
158 |
146 |
$0.00 |
| 92025 |
|
156 |
129 |
$0.00 |
| 76512 |
|
143 |
135 |
$0.00 |
| 76514 |
|
56 |
44 |
$0.00 |
| 92020 |
|
13 |
13 |
$0.00 |