| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,463 |
4,430 |
$216K |
| 92015 |
Determination of refractive state |
2,987 |
2,963 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
238 |
234 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
601 |
511 |
$17K |
| 92134 |
|
861 |
653 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
357 |
302 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
93 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
28 |
$1K |
| 92083 |
|
30 |
27 |
$709.60 |
| 92133 |
|
14 |
12 |
$216.89 |