| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
440 |
415 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
370 |
337 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
55 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
76 |
$2K |
| 92136 |
|
167 |
156 |
$1K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
19 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
51 |
$739.69 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
13 |
13 |
$468.08 |
| 92134 |
|
65 |
56 |
$332.25 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
13 |
$80.64 |