| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,491 |
3,300 |
$92K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,223 |
3,752 |
$72K |
| 92015 |
Determination of refractive state |
1,415 |
1,363 |
$38K |
| J0178 |
Injection, aflibercept, 1 mg |
27 |
24 |
$19K |
| 92134 |
|
1,170 |
1,061 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
144 |
135 |
$8K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
179 |
160 |
$7K |
| 92133 |
|
301 |
267 |
$3K |
| 92083 |
|
46 |
39 |
$1K |
| 92310 |
|
12 |
12 |
$450.00 |