| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,762 |
3,617 |
$285K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,312 |
2,248 |
$241K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,938 |
1,759 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,728 |
$92K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,420 |
1,334 |
$84K |
| 92134 |
|
2,623 |
2,439 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
132 |
$10K |
| 92015 |
Determination of refractive state |
7,097 |
6,855 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
204 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
790 |
737 |
$4K |
| 92133 |
|
136 |
130 |
$3K |
| 92083 |
|
77 |
75 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
28 |
25 |
$65.58 |
| 1036F |
|
1,750 |
1,613 |
$44.83 |
| 2022F |
|
921 |
881 |
$27.21 |
| 2027F |
|
647 |
589 |
$8.45 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
47 |
47 |
$0.00 |