| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
941 |
805 |
$51K |
| 92134 |
|
2,714 |
2,377 |
$43K |
| J9035 |
Injection, bevacizumab, 10 mg |
714 |
629 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
764 |
664 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
394 |
356 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
134 |
117 |
$9K |
| 92250 |
|
14 |
14 |
$512.67 |