| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
351 |
298 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
453 |
394 |
$17K |
| 92134 |
|
860 |
754 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
104 |
81 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
46 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
38 |
$2K |
| 92136 |
|
18 |
12 |
$285.13 |