| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
660 |
606 |
$26K |
| 92134 |
|
1,064 |
960 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
459 |
328 |
$22K |
| 92250 |
|
556 |
499 |
$15K |
| J9035 |
Injection, bevacizumab, 10 mg |
130 |
89 |
$7K |
| 92235 |
|
96 |
84 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
13 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$185.46 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |