| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,359 |
2,236 |
$338K |
| 92134 |
|
5,629 |
5,557 |
$173K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,105 |
2,092 |
$171K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,577 |
1,291 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,154 |
1,112 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
159 |
159 |
$17K |
| 92250 |
|
163 |
162 |
$6K |
| 92235 |
|
58 |
58 |
$6K |
| 76512 |
|
32 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$1K |