| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67228 |
|
990 |
707 |
$906K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,412 |
9,408 |
$797K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,272 |
11,388 |
$773K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,667 |
4,661 |
$547K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
762 |
703 |
$232K |
| 67210 |
|
435 |
297 |
$158K |
| 92083 |
|
2,717 |
2,708 |
$119K |
| 92133 |
|
2,949 |
2,932 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
399 |
398 |
$61K |
| 92136 |
|
1,293 |
1,208 |
$46K |
| 92134 |
|
813 |
808 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
165 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
166 |
$17K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
72 |
55 |
$17K |
| 92020 |
|
922 |
918 |
$16K |
| 92025 |
|
242 |
242 |
$8K |
| 76514 |
|
324 |
324 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
15 |
12 |
$1K |
| 92002 |
|
13 |
13 |
$1K |
| 2022F |
|
1,472 |
1,467 |
$0.00 |