| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
2,806 |
1,070 |
$212K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,117 |
4,479 |
$160K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
372 |
291 |
$81K |
| 92250 |
|
2,349 |
2,261 |
$66K |
| 99215 |
Prolong outpt/office vis |
1,727 |
1,590 |
$64K |
| 92134 |
|
2,074 |
1,948 |
$53K |
| 92082 |
|
1,754 |
1,738 |
$43K |
| 92133 |
|
1,807 |
1,792 |
$43K |
| 92100 |
|
1,882 |
1,848 |
$40K |
| 92226 |
|
1,525 |
690 |
$39K |
| 92020 |
|
1,796 |
1,781 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
303 |
302 |
$16K |
| J9035 |
Injection, bevacizumab, 10 mg |
371 |
318 |
$15K |
| 92202 |
|
1,046 |
918 |
$12K |
| 99205 |
Prolong outpt/office vis |
68 |
68 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
84 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
77 |
75 |
$2K |
| 92015 |
Determination of refractive state |
130 |
128 |
$934.55 |
| V2020 |
Frames, purchases |
39 |
32 |
$480.30 |
| 76514 |
|
31 |
30 |
$320.89 |
| 92285 |
|
15 |
15 |
$124.83 |