| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,437 |
855 |
$76K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,524 |
929 |
$57K |
| 00142 |
|
860 |
266 |
$18K |
| 2022F |
|
1,288 |
941 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
220 |
156 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
138 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
123 |
$6K |
| 92134 |
|
4,863 |
2,706 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
53 |
53 |
$4K |
| 92083 |
|
362 |
259 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$1K |
| V2020 |
Frames, purchases |
96 |
92 |
$983.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$424.21 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
83 |
83 |
$392.50 |
| 92133 |
|
101 |
79 |
$155.72 |
| 92202 |
|
55 |
42 |
$78.28 |
| 92226 |
|
31 |
12 |
$55.49 |
| 92020 |
|
26 |
24 |
$30.46 |
| 92015 |
Determination of refractive state |
189 |
177 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
77 |
38 |
$0.00 |
| 92201 |
|
15 |
13 |
$0.00 |