| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,969 |
2,637 |
$630K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
9,379 |
8,723 |
$475K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,736 |
5,648 |
$424K |
| 92134 |
|
5,601 |
5,407 |
$185K |
| J7999 |
Compounded drug, not otherwise classified |
1,712 |
1,466 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,359 |
1,302 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,462 |
1,426 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
1,229 |
$91K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
117 |
113 |
$69K |
| 92250 |
|
1,153 |
1,135 |
$44K |
| 92133 |
|
1,249 |
1,228 |
$43K |
| 92083 |
|
871 |
866 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
284 |
278 |
$23K |
| 92136 |
|
597 |
493 |
$16K |
| J9035 |
Injection, bevacizumab, 10 mg |
114 |
107 |
$10K |
| 92235 |
|
45 |
45 |
$5K |
| 83861 |
|
207 |
194 |
$5K |
| 83516 |
|
382 |
192 |
$4K |
| 92020 |
|
173 |
160 |
$4K |
| 92015 |
Determination of refractive state |
284 |
284 |
$3K |
| 92002 |
|
16 |
15 |
$579.54 |
| 76514 |
|
41 |
38 |
$258.72 |