| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
2,805 |
2,575 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,248 |
1,206 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
306 |
$38K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
249 |
209 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
172 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
165 |
161 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
75 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
43 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
31 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
12 |
$1K |
| 92250 |
|
12 |
12 |
$825.65 |
| J7999 |
Compounded drug, not otherwise classified |
14 |
12 |
$680.40 |