| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,654 |
2,000 |
$539K |
| 67210 |
|
1,124 |
864 |
$367K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,723 |
1,583 |
$74K |
| 92134 |
|
3,018 |
2,737 |
$65K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,529 |
1,191 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
769 |
$41K |
| 92250 |
|
537 |
491 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
180 |
178 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
56 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$641.48 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$209.70 |