| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,964 |
1,619 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
708 |
669 |
$23K |
| J9035 |
Injection, bevacizumab, 10 mg |
346 |
318 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
579 |
534 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
189 |
185 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
342 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
105 |
$12K |
| 92134 |
|
1,095 |
1,041 |
$10K |
| 92136 |
|
12 |
12 |
$123.84 |
| 99072 |
|
141 |
127 |
$0.00 |