| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,348 |
2,330 |
$82K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,170 |
1,016 |
$65K |
| 92134 |
|
3,220 |
3,177 |
$48K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,323 |
1,294 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
636 |
551 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
73 |
$4K |
| 92250 |
|
134 |
131 |
$3K |
| 92226 |
|
543 |
345 |
$3K |
| 92202 |
|
594 |
551 |
$2K |
| 92225 |
|
113 |
83 |
$909.00 |
| 92020 |
|
40 |
40 |
$237.00 |
| 68761 |
|
34 |
18 |
$75.29 |