| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,615 |
1,414 |
$82K |
| 92134 |
|
2,625 |
2,273 |
$52K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
181 |
153 |
$28K |
| 92250 |
|
686 |
592 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
306 |
289 |
$11K |
| J0178 |
Injection, aflibercept, 1 mg |
13 |
12 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$946.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$556.29 |
| 92201 |
|
41 |
33 |
$508.38 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$182.41 |