| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
282 |
212 |
$16K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
74 |
63 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
252 |
$9K |
| 92134 |
|
460 |
367 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
56 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
90 |
$2K |
| 92136 |
|
79 |
38 |
$749.01 |