| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
804 |
614 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,169 |
1,122 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,627 |
1,558 |
$16K |
| 92134 |
|
2,399 |
2,175 |
$14K |
| 92083 |
|
1,021 |
974 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
204 |
153 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
85 |
83 |
$2K |
| 92225 |
|
267 |
160 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
40 |
39 |
$1K |
| 68761 |
|
26 |
24 |
$472.07 |
| 92133 |
|
30 |
17 |
$233.82 |
| 92250 |
|
49 |
44 |
$224.20 |
| 92202 |
|
43 |
28 |
$17.70 |
| 99024 |
|
15 |
12 |
$0.00 |