| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,466 |
1,352 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,352 |
3,999 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,642 |
1,620 |
$62K |
| 92134 |
|
2,332 |
2,281 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
616 |
607 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
534 |
527 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,406 |
1,384 |
$47K |
| J9035 |
Injection, bevacizumab, 10 mg |
922 |
851 |
$37K |
| 92133 |
|
744 |
744 |
$19K |
| 92083 |
|
406 |
391 |
$9K |
| 92015 |
Determination of refractive state |
600 |
597 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
211 |
211 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
215 |
$5K |
| 92002 |
|
104 |
104 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
70 |
$4K |
| 92020 |
|
24 |
24 |
$285.70 |