| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,858 |
7,088 |
$572K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,396 |
8,800 |
$434K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,177 |
3,109 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,532 |
7,013 |
$271K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,625 |
2,199 |
$225K |
| J0178 |
Injection, aflibercept, 1 mg |
160 |
106 |
$120K |
| 92060 |
|
2,654 |
2,084 |
$91K |
| 92250 |
|
3,900 |
2,699 |
$66K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
655 |
418 |
$42K |
| 92015 |
Determination of refractive state |
4,387 |
2,990 |
$38K |
| 92134 |
|
2,438 |
1,705 |
$28K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
116 |
65 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
187 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,148 |
768 |
$13K |
| 92133 |
|
372 |
289 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
189 |
132 |
$3K |
| 92083 |
|
135 |
92 |
$3K |
| 92136 |
|
295 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$1K |
| 92025 |
|
59 |
50 |
$499.44 |
| 92145 |
|
375 |
266 |
$336.63 |
| 92202 |
|
204 |
151 |
$249.25 |
| 92225 |
|
136 |
76 |
$229.30 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
23 |
$204.08 |
| 92020 |
|
20 |
16 |
$192.20 |
| 92226 |
|
41 |
27 |
$107.50 |
| 76514 |
|
17 |
14 |
$73.40 |
| 92201 |
|
17 |
14 |
$19.73 |