| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,884 |
1,799 |
$38K |
| 92134 |
|
2,459 |
2,316 |
$29K |
| 92273 |
|
269 |
266 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
337 |
333 |
$8K |
| 92202 |
|
1,337 |
1,245 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
126 |
116 |
$7K |
| 92235 |
|
189 |
188 |
$6K |
| 92226 |
|
493 |
408 |
$5K |
| 92201 |
|
396 |
379 |
$4K |
| 92025 |
|
270 |
269 |
$3K |
| 92283 |
|
185 |
184 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
88 |
$2K |
| 67210 |
|
15 |
13 |
$2K |
| 92145 |
|
362 |
344 |
$2K |
| 67228 |
|
12 |
12 |
$1K |
| 92250 |
|
69 |
66 |
$1K |
| 92083 |
|
44 |
44 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
103 |
96 |
$994.49 |
| 93892 |
|
14 |
14 |
$738.78 |
| 93890 |
|
14 |
14 |
$603.53 |
| 92225 |
|
57 |
47 |
$433.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$273.24 |
| 92020 |
|
14 |
14 |
$190.41 |
| 92132 |
|
50 |
48 |
$143.64 |