| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,546 |
4,971 |
$1.58M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,211 |
9,509 |
$291K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,507 |
9,323 |
$269K |
| 92134 |
|
4,493 |
4,355 |
$119K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
226 |
200 |
$114K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
909 |
897 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,893 |
1,865 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,564 |
1,536 |
$63K |
| 92083 |
|
2,156 |
2,103 |
$51K |
| 92133 |
|
1,996 |
1,978 |
$48K |
| 92250 |
|
1,172 |
1,141 |
$40K |
| J0178 |
Injection, aflibercept, 1 mg |
97 |
91 |
$35K |
| 92015 |
Determination of refractive state |
5,520 |
5,516 |
$29K |
| J7999 |
Compounded drug, not otherwise classified |
895 |
860 |
$21K |
| V2020 |
Frames, purchases |
1,559 |
1,557 |
$20K |
| 92341 |
|
757 |
756 |
$15K |
| 67228 |
|
39 |
38 |
$11K |
| 92136 |
|
242 |
235 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
392 |
392 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
42 |
37 |
$3K |
| 92235 |
|
13 |
13 |
$1K |
| 76514 |
|
24 |
24 |
$179.63 |