| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,953 |
1,952 |
$208K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
958 |
956 |
$67K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
846 |
842 |
$48K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
152 |
126 |
$40K |
| J0178 |
Injection, aflibercept, 1 mg |
25 |
24 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
380 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
315 |
$21K |
| 92250 |
|
477 |
477 |
$13K |
| 92134 |
|
627 |
625 |
$12K |
| 92015 |
Determination of refractive state |
597 |
596 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$6K |
| 92136 |
|
196 |
190 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
130 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
29 |
25 |
$1K |
| 92083 |
|
26 |
26 |
$888.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$218.58 |
| 92020 |
|
12 |
12 |
$204.36 |