| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,266 |
1,246 |
$128K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
904 |
872 |
$77K |
| 92134 |
|
1,955 |
1,923 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
288 |
287 |
$48K |
| 92133 |
|
739 |
738 |
$25K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
122 |
121 |
$14K |
| 92250 |
|
319 |
318 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
166 |
164 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
98 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
156 |
156 |
$4K |
| 92100 |
|
59 |
58 |
$3K |
| 92015 |
Determination of refractive state |
47 |
47 |
$3K |
| 92083 |
|
34 |
34 |
$2K |
| 92020 |
|
108 |
108 |
$539.05 |
| 92201 |
|
82 |
82 |
$415.32 |
| 76514 |
|
33 |
32 |
$70.58 |
| 2023F |
|
459 |
456 |
$0.00 |