| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,121 |
3,846 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,290 |
2,282 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,300 |
1,288 |
$157K |
| 92250 |
|
3,621 |
3,601 |
$117K |
| 92134 |
|
4,445 |
4,398 |
$98K |
| 76512 |
|
2,207 |
1,338 |
$86K |
| 92083 |
|
1,921 |
1,907 |
$80K |
| 92025 |
|
3,269 |
3,246 |
$77K |
| 92020 |
|
2,272 |
2,261 |
$39K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
395 |
317 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
95 |
95 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
296 |
233 |
$8K |
| 76514 |
|
1,091 |
1,090 |
$8K |
| 92285 |
|
652 |
644 |
$4K |
| 68761 |
|
79 |
39 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$959.95 |
| 92015 |
Determination of refractive state |
14 |
14 |
$257.12 |
| 99443 |
|
41 |
40 |
$237.52 |
| 92136 |
|
12 |
12 |
$158.33 |