| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67210 |
|
1,051 |
875 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,606 |
3,553 |
$114K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,415 |
2,210 |
$111K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,616 |
4,335 |
$102K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,193 |
2,022 |
$64K |
| 92250 |
|
3,646 |
3,611 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
790 |
788 |
$47K |
| 92134 |
|
3,876 |
3,806 |
$41K |
| 92235 |
|
1,123 |
1,117 |
$35K |
| 92083 |
|
1,147 |
1,144 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
230 |
$16K |
| 92133 |
|
804 |
803 |
$8K |
| 92226 |
|
1,311 |
959 |
$6K |
| 92202 |
|
1,132 |
1,119 |
$4K |
| 67228 |
|
30 |
24 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 92020 |
|
179 |
178 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$1K |
| 92136 |
|
69 |
68 |
$1K |
| 92201 |
|
103 |
97 |
$843.55 |
| 68761 |
|
28 |
14 |
$795.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
22 |
$586.34 |
| 76514 |
|
31 |
30 |
$142.90 |