| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,096 |
765 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,537 |
4,623 |
$350K |
| 92134 |
|
10,395 |
8,424 |
$242K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,581 |
2,380 |
$202K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,715 |
1,568 |
$195K |
| 99205 |
Prolong outpt/office vis |
854 |
694 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,173 |
1,897 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
786 |
763 |
$87K |
| V2020 |
Frames, purchases |
1,060 |
1,034 |
$82K |
| 99215 |
Prolong outpt/office vis |
928 |
706 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
396 |
393 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
588 |
580 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
472 |
461 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
879 |
868 |
$29K |
| 92015 |
Determination of refractive state |
1,420 |
1,326 |
$23K |
| 92201 |
|
1,371 |
1,090 |
$21K |
| 92202 |
|
1,546 |
1,151 |
$14K |
| 92250 |
|
315 |
270 |
$9K |
| 92060 |
|
173 |
167 |
$9K |
| 92083 |
|
218 |
203 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
40 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
58 |
56 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
70 |
66 |
$3K |
| 92133 |
|
89 |
86 |
$3K |
| 92020 |
|
164 |
147 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
41 |
26 |
$2K |
| 92136 |
|
99 |
59 |
$2K |
| 92285 |
|
169 |
152 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$1K |
| 92341 |
|
28 |
28 |
$1K |
| 76514 |
|
80 |
73 |
$928.32 |
| 92225 |
|
14 |
12 |
$150.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
57 |
53 |
$57.20 |
| 99024 |
|
91 |
61 |
$0.00 |