| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,939 |
1,521 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
957 |
584 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
284 |
244 |
$19K |
| 92015 |
Determination of refractive state |
1,502 |
1,174 |
$15K |
| 92134 |
|
799 |
428 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
123 |
64 |
$3K |
| 92250 |
|
102 |
77 |
$2K |
| 92136 |
|
54 |
52 |
$953.14 |
| 92133 |
|
29 |
24 |
$603.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$548.07 |
| 92083 |
|
14 |
13 |
$343.01 |