| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,545 |
2,219 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
1,010 |
$98K |
| 92134 |
|
3,111 |
2,694 |
$64K |
| 92083 |
|
1,904 |
1,680 |
$63K |
| 92133 |
|
1,991 |
1,774 |
$49K |
| 92226 |
|
834 |
681 |
$29K |
| 92235 |
|
316 |
280 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
319 |
236 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
109 |
$17K |
| 92273 |
|
279 |
245 |
$17K |
| 92202 |
|
2,333 |
2,098 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
378 |
294 |
$14K |
| 92287 |
|
93 |
85 |
$8K |
| 92201 |
|
68 |
57 |
$918.19 |
| 76512 |
|
27 |
12 |
$617.20 |
| J0178 |
Injection, aflibercept, 1 mg |
15 |
13 |
$0.00 |