| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,335 |
2,032 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,251 |
24,610 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,191 |
4,182 |
$126K |
| V2020 |
Frames, purchases |
5,670 |
5,663 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,742 |
3,725 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,498 |
4,490 |
$79K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,033 |
3,526 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,343 |
17,416 |
$54K |
| 92015 |
Determination of refractive state |
7,249 |
7,230 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,835 |
4,803 |
$43K |
| 92250 |
|
16,043 |
15,742 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,448 |
3,337 |
$24K |
| 92341 |
|
820 |
819 |
$18K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,512 |
3,119 |
$16K |
| 92133 |
|
5,927 |
5,766 |
$14K |
| 92134 |
|
6,649 |
6,453 |
$13K |
| 92020 |
|
7,565 |
7,313 |
$11K |
| 92136 |
|
2,610 |
2,533 |
$9K |
| 76512 |
|
1,882 |
1,581 |
$7K |
| 67228 |
|
276 |
236 |
$6K |
| 66761 |
|
230 |
181 |
$4K |
| 92083 |
|
3,229 |
3,201 |
$4K |
| 67031 |
|
68 |
64 |
$1K |
| 76514 |
|
856 |
836 |
$780.42 |
| 65875 |
|
30 |
28 |
$392.03 |
| 65855 |
|
17 |
12 |
$388.00 |
| 92132 |
|
100 |
97 |
$330.65 |
| 92273 |
|
33 |
33 |
$122.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
56 |
$71.43 |
| 99243 |
|
13 |
13 |
$64.91 |
| J7999 |
Compounded drug, not otherwise classified |
51 |
45 |
$38.26 |
| 92285 |
|
32 |
32 |
$0.00 |
| 92275 |
|
12 |
12 |
$0.00 |
| 99024 |
|
13 |
13 |
$0.00 |
| 68200 |
|
13 |
12 |
$0.00 |