| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
1,776 |
1,741 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
820 |
797 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
361 |
361 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
443 |
$45K |
| 92133 |
|
1,326 |
1,299 |
$40K |
| 92134 |
|
511 |
470 |
$14K |
| 92250 |
|
411 |
383 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
165 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
73 |
63 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 92015 |
Determination of refractive state |
396 |
396 |
$581.44 |
| 83861 |
|
23 |
12 |
$443.31 |