| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,857 |
7,603 |
$210K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,407 |
2,371 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,263 |
3,949 |
$92K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,095 |
1,683 |
$88K |
| 92015 |
Determination of refractive state |
6,763 |
6,592 |
$64K |
| 92134 |
|
4,509 |
4,059 |
$51K |
| 92250 |
|
2,289 |
2,198 |
$42K |
| J9035 |
Injection, bevacizumab, 10 mg |
676 |
522 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
953 |
861 |
$24K |
| 92083 |
|
1,353 |
1,303 |
$20K |
| 92133 |
|
1,304 |
1,262 |
$13K |
| 92341 |
|
606 |
596 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
24 |
$7K |
| J0178 |
Injection, aflibercept, 1 mg |
20 |
12 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
157 |
$5K |
| 92136 |
|
304 |
263 |
$4K |
| 92225 |
|
156 |
131 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$2K |
| 92226 |
|
105 |
87 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$917.54 |
| 92020 |
|
84 |
84 |
$788.56 |
| 92202 |
|
141 |
124 |
$391.45 |
| 99443 |
|
18 |
18 |
$183.86 |
| 76514 |
|
13 |
13 |
$65.52 |
| 99072 |
|
355 |
336 |
$10.50 |
| V2020 |
Frames, purchases |
238 |
236 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
168 |
164 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
24 |
12 |
$0.00 |
| 1036F |
|
144 |
140 |
$0.00 |