| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,332 |
2,303 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
760 |
709 |
$14K |
| 92250 |
|
1,025 |
983 |
$12K |
| 92134 |
|
1,697 |
1,639 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
67 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
120 |
115 |
$3K |
| 92133 |
|
177 |
171 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
41 |
$313.62 |
| J9035 |
Injection, bevacizumab, 10 mg |
12 |
12 |
$313.22 |
| 92083 |
|
12 |
12 |
$312.48 |
| 92145 |
|
56 |
56 |
$212.33 |