| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,243 |
6,236 |
$143K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,080 |
5,832 |
$138K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,099 |
1,062 |
$39K |
| 92250 |
|
3,611 |
3,606 |
$32K |
| 92134 |
|
4,858 |
4,837 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,733 |
1,731 |
$24K |
| 92083 |
|
3,507 |
3,502 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,399 |
1,040 |
$20K |
| 92136 |
|
2,441 |
1,221 |
$17K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
95 |
90 |
$15K |
| 92133 |
|
1,755 |
1,755 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$707.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$400.40 |
| 92132 |
|
24 |
24 |
$84.70 |
| 99024 |
|
24 |
13 |
$0.00 |