| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,801 |
7,409 |
$927K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,883 |
5,612 |
$727K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,800 |
4,580 |
$460K |
| 92060 |
|
2,070 |
2,001 |
$148K |
| 92134 |
|
2,541 |
2,461 |
$109K |
| 92015 |
Determination of refractive state |
5,607 |
5,588 |
$91K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
392 |
273 |
$44K |
| 92201 |
|
1,390 |
1,356 |
$36K |
| 92133 |
|
517 |
516 |
$21K |
| 92226 |
|
416 |
338 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
91 |
$10K |
| 92002 |
|
54 |
54 |
$4K |
| 92250 |
|
75 |
73 |
$3K |
| 92083 |
|
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 92020 |
|
12 |
12 |
$369.32 |
| 92202 |
|
24 |
24 |
$343.36 |