| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
14,456 |
11,598 |
$743K |
| J9035 |
Injection, bevacizumab, 10 mg |
11,523 |
9,470 |
$266K |
| 92134 |
|
18,885 |
15,835 |
$156K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,302 |
2,793 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,864 |
1,490 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
573 |
$11K |
| 92250 |
|
609 |
479 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
170 |
$7K |
| 92235 |
|
204 |
155 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
38 |
$360.44 |
| J7999 |
Compounded drug, not otherwise classified |
90 |
38 |
$323.21 |
| 99024 |
|
240 |
150 |
$0.00 |