| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92235 |
|
2,610 |
1,686 |
$137K |
| 92250 |
|
1,907 |
1,797 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,235 |
2,005 |
$45K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
204 |
146 |
$14K |
| 92226 |
|
1,370 |
833 |
$11K |
| 92020 |
|
1,067 |
1,015 |
$10K |
| 67210 |
|
46 |
27 |
$9K |
| 92081 |
|
364 |
349 |
$7K |
| 92201 |
|
453 |
430 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
159 |
120 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
40 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34 |
33 |
$1K |
| 92225 |
|
111 |
64 |
$1K |
| 92202 |
|
77 |
74 |
$168.98 |