| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,496 |
7,150 |
$310K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,096 |
5,931 |
$250K |
| J0178 |
Injection, aflibercept, 1 mg |
216 |
170 |
$178K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,022 |
3,275 |
$132K |
| 92134 |
|
7,736 |
7,503 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
940 |
914 |
$79K |
| 92201 |
|
2,610 |
2,052 |
$48K |
| 99233 |
Prolong inpt eval add15 m |
468 |
318 |
$31K |
| 99254 |
|
266 |
253 |
$30K |
| 92250 |
|
357 |
342 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
463 |
440 |
$14K |
| 93892 |
|
279 |
274 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
482 |
446 |
$9K |
| 92235 |
|
147 |
140 |
$6K |
| 93890 |
|
280 |
274 |
$4K |
| 93886 |
|
278 |
273 |
$3K |
| 92225 |
|
759 |
570 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$2K |
| 92136 |
|
71 |
64 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
41 |
$981.65 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$718.52 |
| 92226 |
|
322 |
260 |
$679.20 |
| 92202 |
|
25 |
25 |
$97.44 |