| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,737 |
8,713 |
$128K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,506 |
4,494 |
$75K |
| J0178 |
Injection, aflibercept, 1 mg |
49 |
38 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,030 |
1,958 |
$44K |
| 92250 |
|
1,613 |
1,607 |
$39K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
700 |
568 |
$24K |
| 92083 |
|
1,069 |
1,068 |
$15K |
| 92134 |
|
1,212 |
1,169 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
220 |
183 |
$9K |
| 92133 |
|
663 |
663 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
15 |
$6K |
| 92235 |
|
180 |
179 |
$5K |
| 92225 |
|
220 |
123 |
$3K |
| 92020 |
|
251 |
251 |
$3K |
| 92136 |
|
116 |
116 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
38 |
38 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$540.00 |
| 92226 |
|
28 |
16 |
$296.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$280.56 |
| 92201 |
|
50 |
50 |
$252.28 |
| 76514 |
|
15 |
15 |
$114.62 |
| 92015 |
Determination of refractive state |
423 |
423 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
128 |
128 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
68 |
68 |
$0.00 |
| 92283 |
|
14 |
14 |
$0.00 |