| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,783 |
8,939 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,007 |
1,004 |
$45K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
50 |
48 |
$40K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
137 |
100 |
$32K |
| 92083 |
|
2,422 |
1,223 |
$28K |
| 92020 |
|
1,564 |
1,562 |
$27K |
| 92250 |
|
1,841 |
927 |
$25K |
| 92133 |
|
1,762 |
886 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
462 |
460 |
$15K |
| J9035 |
Injection, bevacizumab, 10 mg |
137 |
100 |
$10K |
| 92225 |
|
208 |
208 |
$8K |
| 76519 |
|
221 |
110 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
138 |
137 |
$3K |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
364 |
348 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
43 |
$2K |
| 92202 |
|
268 |
268 |
$2K |
| 2022F |
|
968 |
681 |
$2K |
| 2027F |
|
553 |
550 |
$2K |
| 92273 |
|
13 |
13 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 92226 |
|
56 |
56 |
$677.62 |
| 92015 |
Determination of refractive state |
79 |
79 |
$594.75 |
| V2020 |
Frames, purchases |
31 |
31 |
$569.70 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
15 |
$234.52 |
| 92132 |
|
28 |
12 |
$79.32 |