| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
97 |
76 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
235 |
234 |
$8K |
| 92134 |
|
218 |
202 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
134 |
130 |
$4K |
| 92250 |
|
105 |
101 |
$4K |
| 92133 |
|
111 |
111 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
18 |
15 |
$1K |
| 92083 |
|
40 |
40 |
$854.97 |
| 76514 |
|
81 |
77 |
$664.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$343.45 |