| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,032 |
3,757 |
$426K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,487 |
1,336 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,095 |
1,027 |
$116K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,240 |
1,141 |
$82K |
| 92134 |
|
1,473 |
1,393 |
$36K |
| 92015 |
Determination of refractive state |
676 |
656 |
$24K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
98 |
70 |
$14K |
| 92250 |
|
1,326 |
1,182 |
$12K |
| 67228 |
|
18 |
15 |
$11K |
| 92002 |
|
182 |
174 |
$9K |
| 92225 |
|
624 |
322 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$5K |
| 92226 |
|
1,038 |
510 |
$4K |
| 76519 |
|
41 |
39 |
$2K |
| 92235 |
|
12 |
12 |
$1K |
| 92202 |
|
52 |
51 |
$469.40 |
| 92020 |
|
13 |
12 |
$53.76 |