| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
648 |
501 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
823 |
816 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
594 |
$17K |
| 92134 |
|
1,079 |
1,027 |
$16K |
| 67210 |
|
34 |
27 |
$7K |
| 92242 |
|
83 |
81 |
$6K |
| 92060 |
|
125 |
124 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
59 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
64 |
$3K |
| 92133 |
|
55 |
53 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$1K |
| 92020 |
|
94 |
88 |
$801.60 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
13 |
$277.92 |
| 92201 |
|
12 |
12 |
$76.08 |
| J9035 |
Injection, bevacizumab, 10 mg |
43 |
38 |
$0.00 |