| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,224 |
2,049 |
$173K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,907 |
1,842 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,139 |
1,678 |
$48K |
| 92134 |
|
4,418 |
3,318 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,254 |
867 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
403 |
337 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
44 |
$2K |
| 92235 |
|
60 |
37 |
$2K |
| 92250 |
|
66 |
52 |
$1K |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
14 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| 5010F |
|
14 |
14 |
$0.00 |