| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,521 |
5,020 |
$431K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,049 |
3,746 |
$355K |
| 92134 |
|
8,545 |
8,001 |
$206K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
517 |
504 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
907 |
850 |
$36K |
| J7999 |
Compounded drug, not otherwise classified |
666 |
605 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
156 |
151 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
151 |
141 |
$6K |
| 92250 |
|
90 |
86 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |