| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,703 |
1,605 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
616 |
591 |
$46K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,815 |
1,481 |
$45K |
| 92134 |
|
3,188 |
3,010 |
$39K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,286 |
1,027 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
276 |
253 |
$11K |
| 92015 |
Determination of refractive state |
336 |
325 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
135 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
65 |
$2K |
| V2020 |
Frames, purchases |
29 |
28 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$28.45 |