| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
572 |
491 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
324 |
$19K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
62 |
44 |
$10K |
| 92250 |
|
339 |
311 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
51 |
34 |
$2K |
| 92134 |
|
80 |
69 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
53 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$622.90 |