| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,057 |
2,056 |
$508K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,579 |
1,576 |
$260K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,806 |
1,773 |
$257K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,236 |
1,228 |
$179K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
44 |
40 |
$128K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,265 |
1,220 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
956 |
915 |
$95K |
| 92083 |
|
730 |
727 |
$95K |
| 92134 |
|
980 |
948 |
$69K |
| 92133 |
|
711 |
706 |
$49K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
110 |
74 |
$41K |
| 92250 |
|
322 |
321 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
222 |
157 |
$18K |
| V2020 |
Frames, purchases |
509 |
508 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$9K |
| 92015 |
Determination of refractive state |
1,500 |
1,500 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
292 |
292 |
$6K |
| 92002 |
|
59 |
59 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
57 |
$3K |
| 92341 |
|
35 |
35 |
$1K |
| 92025 |
|
13 |
13 |
$797.99 |
| 76514 |
|
14 |
14 |
$770.00 |