| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,953 |
3,146 |
$314K |
| 92134 |
|
4,223 |
4,131 |
$127K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,697 |
2,634 |
$81K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
211 |
211 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,520 |
2,515 |
$66K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,901 |
1,764 |
$60K |
| 68761 |
|
514 |
495 |
$24K |
| V2020 |
Frames, purchases |
1,008 |
1,008 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,000 |
1,000 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
351 |
351 |
$16K |
| 92015 |
Determination of refractive state |
2,105 |
2,105 |
$13K |
| 92235 |
|
227 |
162 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,132 |
2,131 |
$10K |
| 67210 |
|
82 |
71 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$6K |
| J7999 |
Compounded drug, not otherwise classified |
491 |
482 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,867 |
1,811 |
$5K |
| 92133 |
|
749 |
743 |
$4K |
| 92083 |
|
481 |
479 |
$4K |
| 92250 |
|
358 |
357 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
235 |
$3K |
| 92226 |
|
69 |
66 |
$633.91 |
| 92136 |
|
12 |
12 |
$272.10 |
| 92002 |
|
42 |
42 |
$36.78 |
| 92228 |
|
15 |
15 |
$0.00 |