| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
353 |
312 |
$27K |
| J0178 |
Injection, aflibercept, 1 mg |
50 |
27 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
144 |
119 |
$13K |
| 92015 |
Determination of refractive state |
432 |
382 |
$6K |
| 92134 |
|
310 |
264 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
144 |
109 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$644.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$280.00 |