| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,354 |
2,341 |
$182K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
448 |
399 |
$112K |
| 92250 |
|
2,819 |
2,802 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,578 |
2,575 |
$59K |
| 92134 |
|
2,409 |
2,253 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
1,199 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,879 |
1,650 |
$32K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
43 |
38 |
$17K |
| J9035 |
Injection, bevacizumab, 10 mg |
319 |
282 |
$15K |
| 92136 |
|
340 |
323 |
$13K |
| 92133 |
|
177 |
173 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
124 |
124 |
$2K |
| 92083 |
|
29 |
29 |
$555.11 |