| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2778 |
Injection, ranibizumab, 0.1 mg |
265 |
238 |
$72K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
439 |
309 |
$55K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,635 |
1,250 |
$48K |
| 92134 |
|
2,563 |
2,029 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
871 |
732 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
566 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
101 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
98 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
101 |
86 |
$2K |
| 92136 |
|
219 |
103 |
$2K |
| 92133 |
|
250 |
199 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$921.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
58 |
$747.05 |
| 4177F |
|
40 |
37 |
$0.00 |
| 5010F |
|
46 |
42 |
$0.00 |
| 2021F |
|
32 |
30 |
$0.00 |
| 2027F |
|
66 |
61 |
$0.00 |
| 2022F |
|
16 |
14 |
$0.00 |