| Code | Description | Claims | Beneficiaries | Total Paid |
| 92134 |
|
134 |
109 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
75 |
50 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
32 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
20 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
59 |
52 |
$0.00 |
| J0178 |
Injection, aflibercept, 1 mg |
47 |
32 |
$0.00 |