| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,966 |
6,638 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,961 |
1,952 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
313 |
311 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
482 |
471 |
$23K |
| 92133 |
|
769 |
766 |
$12K |
| 92083 |
|
394 |
393 |
$4K |
| 92134 |
|
189 |
186 |
$2K |
| 2022F |
|
12 |
12 |
$0.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14 |
13 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
13 |
$0.00 |