| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,156 |
1,428 |
$101K |
| J9035 |
Injection, bevacizumab, 10 mg |
702 |
418 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,434 |
918 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
439 |
$22K |
| 92134 |
|
2,063 |
1,329 |
$19K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
15 |
12 |
$17K |
| 92250 |
|
893 |
716 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
161 |
$9K |
| 92083 |
|
250 |
183 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
159 |
93 |
$4K |
| 92133 |
|
270 |
195 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
170 |
94 |
$2K |
| 92226 |
|
118 |
50 |
$747.29 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$470.64 |
| 92225 |
|
32 |
12 |
$217.64 |