| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,765 |
5,588 |
$376K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,459 |
4,410 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,932 |
2,723 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,151 |
2,107 |
$144K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,424 |
2,187 |
$109K |
| 92083 |
|
2,932 |
2,889 |
$99K |
| 92134 |
|
4,053 |
3,577 |
$82K |
| 65778 |
|
105 |
75 |
$75K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,189 |
895 |
$57K |
| 92250 |
|
2,312 |
2,271 |
$54K |
| 92133 |
|
2,737 |
2,717 |
$54K |
| V2020 |
Frames, purchases |
1,429 |
1,414 |
$37K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
110 |
95 |
$31K |
| J9035 |
Injection, bevacizumab, 10 mg |
458 |
345 |
$24K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
413 |
402 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
853 |
848 |
$16K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
355 |
343 |
$16K |
| 92015 |
Determination of refractive state |
1,224 |
1,215 |
$13K |
| 92201 |
|
1,133 |
1,125 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
119 |
118 |
$12K |
| 83861 |
|
609 |
347 |
$10K |
| 92341 |
|
229 |
229 |
$5K |
| 92136 |
|
144 |
135 |
$4K |
| 76514 |
|
285 |
281 |
$2K |
| 68761 |
|
22 |
15 |
$2K |
| 92235 |
|
15 |
15 |
$964.39 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
97 |
90 |
$934.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$840.42 |
| 92020 |
|
24 |
24 |
$349.40 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
31 |
27 |
$305.18 |
| 2023F |
|
1,137 |
1,128 |
$2.74 |
| 2022F |
|
1,874 |
1,797 |
$2.11 |
| 3072F |
|
141 |
135 |
$0.26 |
| 99024 |
|
216 |
139 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
18 |
18 |
$0.00 |
| 3284F |
|
18 |
18 |
$0.00 |
| 2027F |
|
18 |
18 |
$0.00 |
| 5010F |
|
18 |
18 |
$0.00 |
| 2021F |
|
26 |
26 |
$0.00 |