| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,312 |
4,184 |
$230K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,575 |
4,391 |
$174K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,823 |
5,138 |
$159K |
| 92250 |
|
5,440 |
5,188 |
$121K |
| 92134 |
|
4,071 |
3,837 |
$50K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
606 |
509 |
$24K |
| 92015 |
Determination of refractive state |
845 |
841 |
$16K |
| 92083 |
|
317 |
303 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
238 |
90 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
28 |
24 |
$3K |
| 92235 |
|
61 |
58 |
$2K |
| 92226 |
|
141 |
100 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
225 |
$1K |
| 92133 |
|
64 |
62 |
$985.14 |
| 92225 |
|
23 |
12 |
$481.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$177.12 |
| 99024 |
|
321 |
227 |
$0.00 |