| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,418 |
1,193 |
$196K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,420 |
2,272 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,285 |
2,125 |
$75K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
838 |
788 |
$66K |
| 92015 |
Determination of refractive state |
3,794 |
3,558 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
652 |
$35K |
| J0178 |
Injection, aflibercept, 1 mg |
17 |
12 |
$24K |
| 92134 |
|
553 |
475 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
15 |
$730.35 |
| J9035 |
Injection, bevacizumab, 10 mg |
12 |
12 |
$498.33 |