| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,107 |
1,045 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,165 |
1,149 |
$26K |
| J9035 |
Injection, bevacizumab, 10 mg |
63 |
58 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
302 |
$6K |
| 92015 |
Determination of refractive state |
917 |
906 |
$5K |
| 92133 |
|
183 |
182 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
43 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
113 |
68 |
$2K |
| 92134 |
|
362 |
337 |
$1K |
| 92025 |
|
25 |
24 |
$536.40 |
| V2020 |
Frames, purchases |
42 |
41 |
$418.16 |
| 76514 |
|
38 |
38 |
$217.02 |