| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,141 |
1,811 |
$14K |
| 92250 |
|
3,890 |
3,551 |
$13K |
| 92025 |
|
4,236 |
3,070 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,861 |
1,793 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
681 |
548 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,178 |
1,172 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,794 |
1,406 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
289 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
286 |
283 |
$4K |
| 92134 |
|
207 |
201 |
$811.57 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
18 |
$461.96 |
| 92002 |
|
12 |
12 |
$390.07 |
| V2020 |
Frames, purchases |
13 |
13 |
$271.70 |
| J9035 |
Injection, bevacizumab, 10 mg |
104 |
32 |
$229.98 |
| 92015 |
Determination of refractive state |
44 |
44 |
$190.15 |
| 99243 |
|
13 |
12 |
$58.91 |
| 92133 |
|
55 |
54 |
$42.68 |
| 99058 |
|
263 |
259 |
$40.87 |
| 76514 |
|
12 |
12 |
$23.75 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
619 |
529 |
$0.00 |
| 2022F |
|
689 |
585 |
$0.00 |
| 92083 |
|
27 |
27 |
$0.00 |