| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,205 |
1,174 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
532 |
522 |
$12K |
| 92015 |
Determination of refractive state |
707 |
697 |
$8K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
194 |
185 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
347 |
327 |
$5K |
| 68761 |
|
218 |
210 |
$4K |
| 92134 |
|
539 |
513 |
$3K |
| 92250 |
|
146 |
141 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
112 |
70 |
$2K |
| 92020 |
|
165 |
154 |
$790.38 |
| 92133 |
|
154 |
148 |
$771.37 |
| 92201 |
|
27 |
27 |
$98.64 |
| 92202 |
|
36 |
29 |
$41.64 |
| 76514 |
|
14 |
13 |
$41.16 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
18 |
18 |
$0.00 |