| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,134 |
1,908 |
$132K |
| 92250 |
|
2,536 |
2,291 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
547 |
520 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
862 |
$43K |
| 92134 |
|
1,699 |
1,467 |
$29K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
249 |
199 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
328 |
283 |
$10K |
| 92133 |
|
357 |
322 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
159 |
134 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
27 |
$3K |
| 92015 |
Determination of refractive state |
218 |
196 |
$2K |
| 76514 |
|
26 |
24 |
$179.11 |