| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,916 |
4,872 |
$246K |
| 92134 |
|
5,579 |
5,519 |
$96K |
| 67145 |
|
267 |
236 |
$80K |
| 92226 |
|
1,860 |
1,760 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
1,043 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
436 |
434 |
$31K |
| 92235 |
|
812 |
806 |
$29K |
| 92201 |
|
1,655 |
1,653 |
$28K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
358 |
334 |
$16K |
| 92083 |
|
795 |
782 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
138 |
138 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
243 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
101 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
227 |
211 |
$6K |
| 67210 |
|
41 |
40 |
$5K |
| 92202 |
|
1,457 |
1,437 |
$5K |
| 92133 |
|
212 |
208 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
25 |
$2K |
| 92020 |
|
190 |
187 |
$1K |
| 93886 |
|
71 |
67 |
$1K |
| 93890 |
|
71 |
67 |
$1K |
| 93892 |
|
71 |
67 |
$820.59 |
| 99072 |
|
22 |
22 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
15 |
15 |
$0.00 |
| 2019F |
|
84 |
84 |
$0.00 |
| 4177F |
|
84 |
84 |
$0.00 |