| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,003 |
804 |
$101K |
| 92134 |
|
1,414 |
1,055 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
320 |
300 |
$15K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
123 |
70 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
40 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
21 |
18 |
$3K |