| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
593 |
555 |
$63K |
| 92134 |
|
1,698 |
1,564 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
404 |
387 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
123 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
153 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
54 |
41 |
$101.50 |