| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,376 |
1,017 |
$63K |
| 92015 |
Determination of refractive state |
2,949 |
2,497 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
353 |
313 |
$24K |
| 92134 |
|
1,229 |
772 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
138 |
$6K |
| 99304 |
|
84 |
66 |
$4K |
| 92370 |
|
189 |
189 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
150 |
150 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
135 |
92 |
$2K |
| 92250 |
|
24 |
24 |
$595.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
39 |
$542.71 |
| J9035 |
Injection, bevacizumab, 10 mg |
44 |
25 |
$479.55 |
| 83861 |
|
26 |
12 |
$174.08 |