| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,454 |
3,412 |
$201K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,507 |
2,716 |
$86K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,387 |
2,804 |
$72K |
| 92134 |
|
7,878 |
6,360 |
$67K |
| 92226 |
|
1,138 |
238 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
200 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
79 |
27 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
66 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
66 |
$1K |
| 92201 |
|
183 |
54 |
$895.56 |
| 92225 |
|
26 |
12 |
$397.54 |