| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,431 |
1,096 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
527 |
497 |
$14K |
| 92134 |
|
1,113 |
1,006 |
$13K |
| J9035 |
Injection, bevacizumab, 10 mg |
172 |
132 |
$6K |
| 92250 |
|
227 |
219 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
136 |
130 |
$860.84 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$238.34 |
| J7999 |
Compounded drug, not otherwise classified |
139 |
107 |
$152.03 |