| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,970 |
11,662 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,697 |
7,673 |
$37K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,326 |
3,537 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,148 |
9,014 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,560 |
7,527 |
$17K |
| 92060 |
|
4,921 |
4,857 |
$16K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,107 |
1,762 |
$16K |
| 92134 |
|
12,536 |
12,137 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,991 |
3,841 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,285 |
6,913 |
$9K |
| 92015 |
Determination of refractive state |
12,346 |
12,243 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
153 |
152 |
$3K |
| 99215 |
Prolong outpt/office vis |
86 |
84 |
$1K |
| 2022F |
|
5,691 |
5,595 |
$566.44 |
| 92202 |
|
140 |
139 |
$207.92 |
| 92133 |
|
2,364 |
2,333 |
$163.22 |
| 92083 |
|
1,530 |
1,496 |
$158.00 |
| 92136 |
|
239 |
134 |
$150.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
488 |
488 |
$86.00 |
| 92250 |
|
3,690 |
3,672 |
$84.26 |
| 92002 |
|
91 |
91 |
$74.30 |
| 76519 |
|
64 |
64 |
$54.27 |
| 92226 |
|
146 |
143 |
$39.52 |
| 92025 |
|
302 |
299 |
$26.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
294 |
294 |
$4.96 |
| 2024F |
|
3,213 |
3,168 |
$0.66 |
| 2026F |
|
3,107 |
3,064 |
$0.60 |
| 2021F |
|
1,539 |
1,512 |
$0.43 |
| 2023F |
|
2,275 |
2,267 |
$0.01 |
| 99072 |
|
51 |
50 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
238 |
$0.00 |
| 2025F |
|
13 |
13 |
$0.00 |
| 66982 |
|
12 |
12 |
$0.00 |
| 76514 |
|
305 |
298 |
$0.00 |
| V2020 |
Frames, purchases |
38 |
38 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$0.00 |
| 68761 |
|
22 |
12 |
$0.00 |
| 2033F |
|
597 |
597 |
$0.00 |
| 99024 |
|
953 |
774 |
$0.00 |
| 3072F |
|
238 |
237 |
$0.00 |
| 92082 |
|
33 |
32 |
$0.00 |
| 4177F |
|
70 |
68 |
$0.00 |
| 92229 |
|
33 |
33 |
$0.00 |
| 67228 |
|
48 |
38 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 92285 |
|
14 |
14 |
$0.00 |