| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,357 |
5,047 |
$260K |
| 92015 |
Determination of refractive state |
7,965 |
6,453 |
$194K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,323 |
4,085 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,660 |
2,048 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,184 |
2,492 |
$123K |
| 92134 |
|
199 |
115 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
17 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
27 |
$996.92 |
| 92250 |
|
17 |
14 |
$435.30 |
| J7999 |
Compounded drug, not otherwise classified |
26 |
12 |
$14.15 |