| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,890 |
1,595 |
$37K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,195 |
971 |
$30K |
| 92134 |
|
1,863 |
1,591 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
209 |
192 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
313 |
194 |
$7K |
| J7999 |
Compounded drug, not otherwise classified |
100 |
83 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
13 |
$749.20 |
| 92136 |
|
44 |
42 |
$711.73 |