| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,303 |
1,259 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
809 |
784 |
$79K |
| 92015 |
Determination of refractive state |
4,749 |
4,538 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
753 |
750 |
$18K |
| 92134 |
|
85 |
76 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
52 |
42 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |
| 92083 |
|
26 |
26 |
$943.06 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16 |
12 |
$652.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
13 |
$493.74 |
| 92250 |
|
15 |
14 |
$432.37 |