| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
405 |
337 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
424 |
394 |
$11K |
| J9035 |
Injection, bevacizumab, 10 mg |
405 |
336 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
53 |
$3K |
| 92226 |
|
299 |
288 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$902.18 |
| 92235 |
|
147 |
145 |
$691.05 |
| 92250 |
|
147 |
143 |
$496.87 |
| 92225 |
|
29 |
27 |
$16.80 |