| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,969 |
1,735 |
$132K |
| 92134 |
|
2,120 |
1,858 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
72 |
$7K |
| 92226 |
|
975 |
473 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
48 |
38 |
$4K |
| 92225 |
|
214 |
105 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
68 |
$2K |
| 92202 |
|
1,331 |
1,155 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
39 |
30 |
$1K |
| 92250 |
|
16 |
16 |
$188.92 |
| 2022F |
|
12 |
12 |
$0.00 |