| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,524 |
2,987 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,919 |
1,725 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
568 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
671 |
565 |
$19K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
295 |
224 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
91 |
$5K |
| 92134 |
|
683 |
590 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
43 |
$3K |
| 92015 |
Determination of refractive state |
872 |
769 |
$3K |
| 92083 |
|
59 |
50 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
98 |
68 |
$1K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
13 |
$613.92 |
| 92136 |
|
29 |
24 |
$266.34 |
| 92133 |
|
25 |
25 |
$106.98 |