| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,919 |
2,859 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,360 |
1,338 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
534 |
515 |
$33K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
31 |
31 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
308 |
300 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
43 |
31 |
$2K |
| 92020 |
|
98 |
97 |
$2K |
| 92083 |
|
26 |
26 |
$847.43 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$597.36 |
| 92134 |
|
14 |
14 |
$473.04 |
| 92015 |
Determination of refractive state |
963 |
948 |
$245.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$163.40 |