| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,767 |
1,708 |
$5K |
| 92273 |
|
791 |
787 |
$4K |
| 65855 |
|
111 |
91 |
$3K |
| 92250 |
|
926 |
887 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
72 |
64 |
$2K |
| 92134 |
|
1,017 |
992 |
$2K |
| 95930 |
|
1,286 |
1,278 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
553 |
$977.61 |
| 92083 |
|
620 |
614 |
$706.12 |
| 92133 |
|
702 |
696 |
$597.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
112 |
$267.62 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
90 |
$122.88 |
| 92275 |
|
66 |
65 |
$108.78 |
| 0509T |
|
63 |
63 |
$35.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$13.66 |
| 92132 |
|
12 |
12 |
$2.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$0.85 |