| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,497 |
1,048 |
$118K |
| 92134 |
|
9,404 |
6,962 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
633 |
441 |
$21K |
| 92250 |
|
666 |
513 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
51 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
37 |
$718.05 |
| 92226 |
|
544 |
333 |
$319.08 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
50 |
$195.91 |
| 92202 |
|
89 |
62 |
$151.46 |