| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,128 |
2,082 |
$112K |
| 68761 |
|
2,208 |
1,083 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,903 |
1,663 |
$69K |
| 92134 |
|
419 |
409 |
$6K |
| 92226 |
|
1,003 |
558 |
$6K |
| 92015 |
Determination of refractive state |
833 |
828 |
$5K |
| 92250 |
|
1,353 |
1,336 |
$5K |
| 92285 |
|
666 |
632 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
102 |
96 |
$2K |
| 92133 |
|
830 |
829 |
$1K |
| 92083 |
|
734 |
732 |
$431.40 |
| J9035 |
Injection, bevacizumab, 10 mg |
12 |
12 |
$175.43 |
| 83861 |
|
740 |
367 |
$161.84 |
| 92020 |
|
548 |
544 |
$145.81 |
| 0507T |
|
38 |
38 |
$110.26 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$0.00 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
15 |
14 |
$0.00 |