| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,395 |
1,992 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
864 |
792 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,090 |
982 |
$48K |
| 92134 |
|
1,516 |
1,226 |
$24K |
| 92083 |
|
516 |
494 |
$22K |
| 92133 |
|
507 |
481 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
262 |
156 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
95 |
62 |
$5K |
| 92250 |
|
75 |
58 |
$2K |
| 92015 |
Determination of refractive state |
921 |
844 |
$67.71 |