| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,859 |
3,868 |
$264K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,921 |
1,691 |
$174K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,880 |
2,006 |
$137K |
| 92134 |
|
5,727 |
4,543 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,318 |
1,835 |
$91K |
| J0178 |
Injection, aflibercept, 1 mg |
70 |
63 |
$58K |
| 92015 |
Determination of refractive state |
6,824 |
5,793 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
809 |
721 |
$47K |
| 00142 |
|
289 |
178 |
$11K |
| 92250 |
|
413 |
294 |
$8K |
| J7999 |
Compounded drug, not otherwise classified |
260 |
202 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
139 |
103 |
$5K |
| 92133 |
|
258 |
189 |
$4K |
| 99072 |
|
369 |
349 |
$2K |
| 92136 |
|
81 |
51 |
$2K |
| 92083 |
|
46 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$743.35 |
| 92235 |
|
19 |
13 |
$669.95 |