| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,729 |
2,692 |
$409K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,616 |
8,221 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,367 |
4,148 |
$121K |
| 92134 |
|
6,616 |
6,303 |
$115K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,302 |
1,059 |
$90K |
| V2020 |
Frames, purchases |
2,078 |
1,379 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,329 |
1,242 |
$57K |
| 92235 |
|
1,959 |
1,916 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
516 |
496 |
$36K |
| 92133 |
|
1,655 |
1,615 |
$35K |
| 92250 |
|
978 |
940 |
$29K |
| 92083 |
|
657 |
633 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
658 |
$15K |
| 92020 |
|
990 |
956 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
13 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
190 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
189 |
185 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,567 |
767 |
$3K |
| 92202 |
|
822 |
796 |
$3K |
| 92285 |
|
121 |
116 |
$1K |
| 92015 |
Determination of refractive state |
2,136 |
2,004 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
112 |
39 |
$1K |
| 92136 |
|
56 |
54 |
$543.48 |
| 76519 |
|
12 |
12 |
$491.18 |
| 92201 |
|
60 |
60 |
$447.22 |
| J0178 |
Injection, aflibercept, 1 mg |
1,555 |
1,153 |
$367.17 |
| 76514 |
|
13 |
13 |
$90.54 |
| J2778 |
Injection, ranibizumab, 0.1 mg |
18 |
12 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
556 |
452 |
$0.00 |
| J0177 |
Injection, aflibercept hd, 1 mg |
65 |
59 |
$0.00 |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
48 |
45 |
$0.00 |