| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,969 |
1,673 |
$84K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
812 |
599 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
736 |
554 |
$31K |
| 92134 |
|
2,079 |
1,807 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
196 |
169 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$20.41 |