| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,687 |
1,488 |
$123K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,238 |
1,031 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,396 |
2,278 |
$30K |
| 92134 |
|
2,560 |
2,391 |
$15K |
| 92226 |
|
946 |
505 |
$10K |
| 92201 |
|
1,136 |
1,075 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$2K |
| 92225 |
|
49 |
24 |
$837.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$680.64 |
| 92202 |
|
79 |
74 |
$77.96 |
| 1036F |
|
37 |
25 |
$0.00 |
| 4040F |
|
93 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
27 |
$0.00 |