| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,982 |
1,947 |
$186K |
| 92134 |
|
1,092 |
960 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
211 |
$23K |
| 92235 |
|
153 |
153 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
108 |
105 |
$7K |
| 92015 |
Determination of refractive state |
482 |
482 |
$7K |
| 92201 |
|
267 |
264 |
$5K |
| 92250 |
|
109 |
108 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
28 |
27 |
$4K |
| 92202 |
|
227 |
224 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
17 |
15 |
$1K |