| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,111 |
1,984 |
$77K |
| 92083 |
|
2,532 |
2,446 |
$67K |
| 92250 |
|
1,903 |
1,868 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
990 |
971 |
$41K |
| 99215 |
Prolong outpt/office vis |
660 |
625 |
$36K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
117 |
105 |
$35K |
| 99205 |
Prolong outpt/office vis |
383 |
380 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
459 |
428 |
$19K |
| 92134 |
|
301 |
300 |
$10K |
| 92225 |
|
219 |
136 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
42 |
38 |
$3K |
| 92133 |
|
62 |
62 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
43 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$775.75 |
| 92020 |
|
42 |
42 |
$586.71 |
| 76514 |
|
40 |
40 |
$301.21 |
| 92015 |
Determination of refractive state |
31 |
31 |
$224.04 |