| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
931 |
663 |
$2K |
| 92134 |
|
3,709 |
2,593 |
$1K |
| 76512 |
|
758 |
522 |
$891.67 |
| 99443 |
|
313 |
190 |
$396.57 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,660 |
1,881 |
$173.42 |
| 92250 |
|
3,387 |
2,388 |
$72.30 |
| 92226 |
|
1,500 |
1,127 |
$67.49 |
| 99442 |
|
65 |
41 |
$49.05 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
59 |
37 |
$43.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
103 |
$28.34 |
| 92201 |
|
2,140 |
1,471 |
$0.00 |
| 92083 |
|
969 |
688 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
245 |
159 |
$0.00 |
| 92020 |
|
2,460 |
1,719 |
$0.00 |
| 92133 |
|
17 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 92225 |
|
13 |
13 |
$0.00 |
| 92242 |
|
37 |
29 |
$0.00 |
| 92235 |
|
20 |
12 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
21 |
12 |
$0.00 |