| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
2,024 |
1,702 |
$34K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
274 |
203 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
147 |
$3K |
| 92136 |
|
74 |
67 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
77 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$438.94 |
| 92015 |
Determination of refractive state |
29 |
24 |
$249.70 |