| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,226 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,845 |
1,561 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,400 |
1,217 |
$54K |
| 92134 |
|
1,987 |
1,708 |
$42K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
116 |
74 |
$27K |
| 92133 |
|
654 |
586 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
240 |
$5K |
| 92083 |
|
162 |
151 |
$5K |
| 92020 |
|
257 |
227 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
82 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
56 |
38 |
$3K |
| 92201 |
|
262 |
222 |
$3K |
| 92015 |
Determination of refractive state |
157 |
152 |
$3K |
| 68761 |
|
24 |
14 |
$2K |
| 92250 |
|
20 |
12 |
$836.40 |
| 92025 |
|
28 |
26 |
$395.76 |