| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
3,245 |
2,706 |
$50K |
| 92134 |
|
3,283 |
2,786 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,714 |
1,496 |
$44K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,203 |
999 |
$32K |
| J9035 |
Injection, bevacizumab, 10 mg |
664 |
532 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
335 |
326 |
$12K |
| 99404 |
|
347 |
311 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
229 |
185 |
$9K |
| 99215 |
Prolong outpt/office vis |
137 |
123 |
$7K |
| 92226 |
|
590 |
353 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$4K |
| 92242 |
|
17 |
17 |
$2K |
| 92225 |
|
55 |
32 |
$1K |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |