| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,393 |
2,375 |
$51K |
| 92134 |
|
2,346 |
2,308 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,174 |
1,072 |
$25K |
| 92015 |
Determination of refractive state |
1,397 |
1,376 |
$11K |
| 92250 |
|
410 |
409 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
199 |
197 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
100 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
77 |
76 |
$4K |
| 92083 |
|
67 |
67 |
$894.99 |
| 92025 |
|
12 |
12 |
$145.09 |
| 68761 |
|
32 |
12 |
$117.33 |