| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
133 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
291 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
86 |
$4K |
| 67228 |
|
13 |
12 |
$4K |
| 92250 |
|
90 |
84 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
65 |
$3K |
| 66821 |
|
12 |
12 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
27 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
16 |
$1K |
| 92134 |
|
14 |
14 |
$830.06 |
| 92083 |
|
12 |
12 |
$724.92 |
| 92015 |
Determination of refractive state |
85 |
85 |
$658.19 |