| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
106 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
93 |
85 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
79 |
69 |
$3K |
| 92060 |
|
70 |
68 |
$2K |
| 92015 |
Determination of refractive state |
203 |
191 |
$1K |
| 92134 |
|
200 |
177 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
83 |
62 |
$917.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$371.59 |