| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,186 |
949 |
$113K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,426 |
1,253 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
296 |
247 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
847 |
$31K |
| 92134 |
|
1,609 |
1,317 |
$13K |
| 92250 |
|
632 |
513 |
$6K |
| 92202 |
|
889 |
737 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
40 |
$3K |
| 92226 |
|
1,299 |
649 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
19 |
13 |
$2K |
| 92225 |
|
313 |
164 |
$1K |
| 2022F |
|
13 |
13 |
$0.00 |