| Code | Description | Claims | Bene. Records | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,325 |
1,301 |
$60K |
| 92134 |
|
2,281 |
2,222 |
$42K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
405 |
369 |
$20K |
| 92202 |
|
1,424 |
1,389 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
69 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
15 |
12 |
$587.21 |