| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,036 |
1,989 |
$159K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,811 |
1,763 |
$115K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,523 |
2,285 |
$115K |
| J9035 |
Injection, bevacizumab, 10 mg |
898 |
719 |
$60K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,085 |
845 |
$54K |
| 92134 |
|
1,217 |
1,181 |
$24K |
| 92083 |
|
539 |
523 |
$18K |
| 92133 |
|
939 |
902 |
$18K |
| 92250 |
|
401 |
387 |
$10K |
| 92015 |
Determination of refractive state |
1,077 |
1,018 |
$9K |
| 76514 |
|
218 |
215 |
$2K |
| 92002 |
|
30 |
30 |
$1K |
| 92235 |
|
12 |
12 |
$658.08 |
| 92136 |
|
14 |
13 |
$348.66 |