| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,048 |
3,530 |
$892K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25,452 |
25,012 |
$855K |
| J0178 |
Injection, aflibercept, 1 mg |
589 |
520 |
$621K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,761 |
7,741 |
$340K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,019 |
6,639 |
$219K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
282 |
279 |
$143K |
| 92083 |
|
5,787 |
5,750 |
$130K |
| 92250 |
|
3,867 |
3,810 |
$118K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,197 |
1,948 |
$117K |
| 92133 |
|
5,287 |
5,274 |
$105K |
| 92134 |
|
4,700 |
4,660 |
$90K |
| V2020 |
Frames, purchases |
4,289 |
4,262 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,489 |
2,425 |
$59K |
| 92015 |
Determination of refractive state |
7,127 |
7,087 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,012 |
992 |
$35K |
| 92341 |
|
1,963 |
1,950 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,028 |
2,020 |
$29K |
| 92136 |
|
658 |
646 |
$24K |
| 92235 |
|
180 |
179 |
$10K |
| 76514 |
|
914 |
913 |
$6K |
| 92020 |
|
304 |
304 |
$4K |
| 67228 |
|
16 |
14 |
$3K |
| 76519 |
|
84 |
84 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
166 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
91 |
91 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
24 |
24 |
$441.60 |
| 3072F |
|
71 |
71 |
$0.00 |
| 2024F |
|
72 |
72 |
$0.00 |
| 2022F |
|
72 |
72 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
17 |
$0.00 |
| 2026F |
|
71 |
71 |
$0.00 |
| 3046F |
|
139 |
71 |
$0.00 |