| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,550 |
6,324 |
$181K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,488 |
2,485 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
979 |
979 |
$59K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
407 |
363 |
$43K |
| 92133 |
|
1,955 |
1,953 |
$31K |
| 92083 |
|
2,057 |
2,056 |
$31K |
| 92134 |
|
1,949 |
1,859 |
$11K |
| 76514 |
|
242 |
242 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
121 |
112 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$1K |
| 92136 |
|
13 |
13 |
$558.46 |
| 92250 |
|
54 |
54 |
$519.38 |
| 67820 |
|
13 |
13 |
$77.08 |
| 92020 |
|
14 |
13 |
$1.39 |