| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,921 |
1,864 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
341 |
306 |
$5K |
| 92134 |
|
458 |
425 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
83 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
78 |
53 |
$2K |
| 92136 |
|
84 |
82 |
$2K |
| 92015 |
Determination of refractive state |
397 |
385 |
$930.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
13 |
13 |
$858.29 |
| J9035 |
Injection, bevacizumab, 10 mg |
13 |
13 |
$625.01 |
| 92133 |
|
63 |
55 |
$412.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
20 |
$191.57 |
| 92226 |
|
17 |
12 |
$15.87 |