| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,260 |
4,237 |
$261K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,811 |
1,808 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,406 |
1,385 |
$71K |
| 92015 |
Determination of refractive state |
4,636 |
4,617 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
83 |
$6K |
| 92134 |
|
295 |
238 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
125 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14 |
13 |
$699.66 |
| 92133 |
|
15 |
12 |
$197.62 |