| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
673 |
518 |
$38K |
| J9035 |
Injection, bevacizumab, 10 mg |
446 |
337 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
250 |
244 |
$7K |
| 92235 |
|
135 |
134 |
$6K |
| 92134 |
|
441 |
415 |
$5K |
| 92250 |
|
288 |
279 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
44 |
$898.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$862.48 |
| 92202 |
|
12 |
12 |
$2.74 |