| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,848 |
2,635 |
$202K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,163 |
1,007 |
$155K |
| 67228 |
|
220 |
193 |
$118K |
| 92134 |
|
3,854 |
3,631 |
$108K |
| 92201 |
|
4,023 |
3,684 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
513 |
486 |
$63K |
| 92002 |
|
790 |
768 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
279 |
266 |
$32K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
797 |
666 |
$31K |
| 92250 |
|
649 |
612 |
$21K |
| J9035 |
Injection, bevacizumab, 10 mg |
98 |
68 |
$6K |
| 92015 |
Determination of refractive state |
215 |
201 |
$5K |
| 92083 |
|
34 |
32 |
$2K |
| 92133 |
|
33 |
31 |
$1K |
| 76512 |
|
14 |
12 |
$734.44 |
| 76514 |
|
33 |
31 |
$310.83 |
| 99024 |
|
16 |
12 |
$0.00 |