| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,632 |
3,091 |
$128K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,522 |
2,094 |
$102K |
| 92134 |
|
3,570 |
3,140 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
305 |
291 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
120 |
119 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
110 |
$4K |
| J3590 |
Unclassified biologics |
29 |
25 |
$960.20 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
12 |
12 |
$0.00 |
| 5010F |
|
12 |
12 |
$0.00 |