| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
149 |
133 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
153 |
139 |
$12K |
| 92134 |
|
843 |
494 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
183 |
$7K |
| 92250 |
|
295 |
148 |
$6K |
| 92015 |
Determination of refractive state |
345 |
321 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
42 |
41 |
$2K |