| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,303 |
869 |
$19K |
| 92134 |
|
1,126 |
771 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
298 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
32 |
25 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
125 |
60 |
$4K |
| 92015 |
Determination of refractive state |
174 |
137 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
144 |
105 |
$2K |
| 92136 |
|
246 |
156 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
27 |
$821.30 |
| J9035 |
Injection, bevacizumab, 10 mg |
75 |
43 |
$813.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$366.41 |