| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
315 |
299 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
95 |
87 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
15 |
13 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
109 |
94 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$347.90 |