| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,363 |
7,499 |
$423K |
| J9035 |
Injection, bevacizumab, 10 mg |
6,483 |
4,965 |
$256K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,297 |
11,676 |
$193K |
| 92250 |
|
11,928 |
10,762 |
$176K |
| 92134 |
|
13,693 |
12,154 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,857 |
1,716 |
$38K |
| 92285 |
|
3,678 |
3,449 |
$33K |
| 92242 |
|
528 |
479 |
$24K |
| 92235 |
|
569 |
524 |
$19K |
| 92226 |
|
3,128 |
1,961 |
$14K |
| J7999 |
Compounded drug, not otherwise classified |
1,708 |
1,604 |
$10K |
| 67210 |
|
50 |
42 |
$9K |
| 92133 |
|
480 |
451 |
$4K |
| 92083 |
|
139 |
125 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$1K |
| 92225 |
|
48 |
25 |
$204.22 |
| 92202 |
|
14 |
12 |
$92.24 |