| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
779 |
568 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
326 |
299 |
$2K |
| 92134 |
|
548 |
466 |
$526.39 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
37 |
25 |
$220.68 |
| 92226 |
|
124 |
62 |
$109.54 |
| 92133 |
|
246 |
200 |
$53.13 |
| 92015 |
Determination of refractive state |
14 |
12 |
$27.94 |
| 92083 |
|
105 |
90 |
$15.36 |
| 92136 |
|
109 |
76 |
$2.37 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
24 |
$0.00 |
| 92020 |
|
12 |
12 |
$0.00 |
| 76514 |
|
13 |
12 |
$0.00 |
| 92250 |
|
79 |
74 |
$0.00 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
36 |
27 |
$0.00 |