| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,923 |
1,884 |
$134K |
| 92134 |
|
3,063 |
2,804 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
804 |
709 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
175 |
$21K |
| 92201 |
|
1,079 |
1,034 |
$19K |
| 92226 |
|
1,003 |
695 |
$16K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
306 |
268 |
$12K |
| 92202 |
|
1,953 |
1,803 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$9K |
| 92225 |
|
111 |
73 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
27 |
$1K |
| 92133 |
|
14 |
13 |
$323.12 |