| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,243 |
2,237 |
$102K |
| 92015 |
Determination of refractive state |
2,731 |
2,719 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
382 |
369 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
127 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
91 |
69 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
32 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
39 |
28 |
$1K |
| 92134 |
|
103 |
64 |
$890.85 |