| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,825 |
3,939 |
$186K |
| 92250 |
|
7,623 |
7,546 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,781 |
8,122 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,170 |
5,075 |
$82K |
| 92134 |
|
17,418 |
17,057 |
$63K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,345 |
3,609 |
$59K |
| 76512 |
|
5,101 |
4,622 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,339 |
3,337 |
$34K |
| 92083 |
|
5,001 |
4,944 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,162 |
1,149 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,620 |
4,385 |
$29K |
| 92025 |
|
6,146 |
6,060 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
876 |
876 |
$15K |
| 92136 |
|
1,122 |
1,105 |
$14K |
| 92020 |
|
5,828 |
5,747 |
$13K |
| 92235 |
|
682 |
668 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
197 |
196 |
$9K |
| 68761 |
|
1,289 |
623 |
$8K |
| 99443 |
|
1,109 |
1,064 |
$6K |
| 92285 |
|
6,167 |
6,077 |
$5K |
| 76514 |
|
1,631 |
1,617 |
$2K |
| 67820 |
|
618 |
604 |
$1K |
| 65205 |
|
146 |
143 |
$708.91 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
87 |
87 |
$591.97 |
| 99442 |
|
55 |
54 |
$567.87 |
| 92100 |
|
27 |
27 |
$529.63 |
| 76511 |
|
83 |
78 |
$502.78 |
| 66821 |
|
12 |
12 |
$296.39 |
| 99441 |
|
23 |
23 |
$295.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
34 |
$67.22 |
| 92201 |
|
36 |
36 |
$35.85 |