| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
203 |
188 |
$21K |
| 92134 |
|
949 |
862 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
628 |
560 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$870.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
14 |
$776.44 |
| 92250 |
|
38 |
29 |
$648.95 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$432.72 |