| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
179 |
151 |
$8K |
| 92134 |
|
338 |
250 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
38 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
52 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
32 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
39 |
26 |
$1K |