| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,955 |
7,278 |
$519K |
| 92134 |
|
25,082 |
19,298 |
$473K |
| J9035 |
Injection, bevacizumab, 10 mg |
8,568 |
6,568 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,202 |
4,274 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,469 |
4,471 |
$192K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
740 |
607 |
$62K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
209 |
132 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
517 |
453 |
$27K |
| 92201 |
|
1,961 |
1,641 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
209 |
186 |
$15K |
| 92250 |
|
280 |
243 |
$10K |
| 92226 |
|
1,286 |
488 |
$10K |
| 76512 |
|
90 |
69 |
$4K |
| 92136 |
|
142 |
56 |
$4K |
| 92202 |
|
280 |
254 |
$2K |
| 92225 |
|
237 |
98 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
526 |
300 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
52 |
44 |
$2K |
| 92133 |
|
43 |
38 |
$841.16 |
| J3490 |
Unclassified drugs |
16 |
12 |
$125.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
350 |
242 |
$0.02 |
| 4177F |
|
38 |
38 |
$0.00 |