| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
524 |
485 |
$36K |
| 92134 |
|
1,679 |
1,630 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
301 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
279 |
275 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
249 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
89 |
85 |
$3K |
| 92250 |
|
14 |
13 |
$173.67 |