| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,161 |
1,775 |
$70K |
| 92134 |
|
5,141 |
4,270 |
$61K |
| 92235 |
|
221 |
175 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
136 |
77 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
725 |
654 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
102 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
27 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
17 |
13 |
$444.96 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$0.00 |