| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,900 |
11,794 |
$456K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,167 |
3,991 |
$120K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,405 |
1,400 |
$97K |
| 92250 |
|
3,600 |
3,586 |
$67K |
| 92134 |
|
3,408 |
3,366 |
$42K |
| 92083 |
|
1,614 |
1,608 |
$36K |
| 92015 |
Determination of refractive state |
1,481 |
1,474 |
$27K |
| 92133 |
|
2,083 |
2,048 |
$25K |
| 92145 |
|
3,972 |
3,883 |
$7K |
| 92060 |
|
119 |
117 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
99 |
$2K |
| 99443 |
|
78 |
78 |
$1K |
| 92136 |
|
65 |
64 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$1K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$817.60 |
| 83861 |
|
49 |
37 |
$622.51 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12 |
12 |
$258.66 |
| 92025 |
|
24 |
24 |
$210.53 |