Table 3.
Estimated Use of Resources Based on Initial Procedure
| Procedure | CPT Code | Scenario 1, PPV | Scenario 2a, ocriplasmin 26.5% | Scenario 2b, ocriplasmin 40.5% | Scenario 3, Saline |
|---|---|---|---|---|---|
| New patient visit, level 4 | 99204 | 1 | 1 | 1 | 1 |
| Follow up visit, level 3 | 99213 | 2 | 4 | 4 | 4 |
| Intravitreal injection | 67028 | 0 | 1 | 1 | 1 |
| PPV | 67042 | 1.1 | 0.81 | 0.65 | 0.99 |
| OCT imaging | 92134 | 2.15 | 3.74 | 3.06 | 3.9 |
| Ocriplasmin drug | 0 | 1 | 1 | 0 | |
| Saline drug | 0 | 0 | 0 | 1 | |
| Drug maintenance fee | 0 | 1 | 1 | 1 | |
| Anesthesia for VR surgery | 00145 | 1.12 | 0.82 | 0.67 | 1.01 |
| Cataract surgery | 66984 | 0.63 | 0.46 | 0.63 | 0.57 |
| IOL Biometry | 92136 | 0.63 | 0.46 | 0.63 | 0.57 |
| Anesthesia for cataract surgery | 00142 | 0.63 | 0.46 | 0.63 | 0.57 |
| RD repair | 67108 | 0.02 | 0.01 | 0.01 | 0.02 |
CPT = current procedural terminology , PPV = pars plana vitrectomy, MH = macular hole, OCT = optical coherence tomography, VR = vitreoretinal, IOL = intraocular lens, RD = retinal detachment