| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
3,642 |
2,287 |
$270K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,033 |
2,105 |
$163K |
| J0178 |
Injection, aflibercept, 1 mg |
586 |
237 |
$161K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,456 |
1,169 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,004 |
1,420 |
$18K |
| 92235 |
|
959 |
651 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
362 |
234 |
$9K |
| 92250 |
|
2,618 |
1,856 |
$6K |
| 92083 |
|
1,845 |
1,337 |
$5K |
| 92273 |
|
287 |
213 |
$4K |
| 92226 |
|
1,369 |
575 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
24 |
$2K |
| 92287 |
|
164 |
113 |
$1K |
| 93892 |
|
19 |
13 |
$600.48 |
| 93890 |
|
19 |
13 |
$532.99 |
| 93886 |
|
19 |
13 |
$524.12 |
| 92202 |
|
1,168 |
845 |
$384.18 |
| 92015 |
Determination of refractive state |
18 |
13 |
$100.82 |
| 92201 |
|
81 |
57 |
$86.30 |
| 92133 |
|
58 |
25 |
$26.35 |
| 92081 |
|
63 |
43 |
$24.55 |
| 92025 |
|
15 |
12 |
$24.50 |
| 0509T |
|
16 |
13 |
$0.00 |