| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,072 |
570 |
$122K |
| 92134 |
|
4,879 |
3,102 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,850 |
1,146 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
461 |
278 |
$5K |
| J9035 |
Injection, bevacizumab, 10 mg |
74 |
56 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
155 |
54 |
$3K |
| 92250 |
|
49 |
27 |
$1K |
| J3590 |
Unclassified biologics |
34 |
24 |
$58.32 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
18 |
12 |
$0.00 |