| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
1,768 |
1,624 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
344 |
344 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
260 |
$19K |
| 92250 |
|
732 |
731 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
217 |
209 |
$18K |
| 67228 |
|
28 |
25 |
$11K |
| 92235 |
|
156 |
156 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
70 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
39 |
39 |
$3K |
| 92287 |
|
14 |
14 |
$1K |
| 92273 |
|
14 |
14 |
$932.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$470.63 |
| 5010F |
|
28 |
26 |
$0.00 |