| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,077 |
2,075 |
$183K |
| 67228 |
|
86 |
63 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
422 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
799 |
709 |
$46K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
135 |
105 |
$22K |
| 92134 |
|
150 |
148 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
68 |
68 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
68 |
$946.21 |