| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,187 |
2,143 |
$64K |
| 92250 |
|
1,689 |
1,684 |
$30K |
| 92133 |
|
2,057 |
2,051 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
447 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
416 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
81 |
68 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$12K |
| 92083 |
|
542 |
542 |
$11K |
| 92286 |
|
448 |
448 |
$11K |
| 92134 |
|
699 |
690 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
341 |
339 |
$7K |
| 92136 |
|
207 |
207 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
114 |
114 |
$2K |
| 76513 |
|
53 |
30 |
$729.78 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16 |
14 |
$672.38 |
| 92145 |
|
182 |
181 |
$431.71 |
| 92202 |
|
84 |
84 |
$270.07 |
| J9035 |
Injection, bevacizumab, 10 mg |
16 |
14 |
$128.04 |
| 76514 |
|
13 |
13 |
$85.60 |
| 99080 |
|
185 |
55 |
$0.00 |