| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
1,130 |
$145K |
| 92134 |
|
4,041 |
3,355 |
$87K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
463 |
341 |
$34K |
| 92201 |
|
1,074 |
1,006 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
432 |
269 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
67 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
114 |
88 |
$7K |
| 92202 |
|
357 |
320 |
$4K |