| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,929 |
3,712 |
$830K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,587 |
3,342 |
$260K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
440 |
437 |
$251K |
| 92134 |
|
4,376 |
4,269 |
$104K |
| 67210 |
|
380 |
328 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,845 |
1,844 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,242 |
3,181 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,546 |
1,516 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
1,253 |
$31K |
| 92235 |
|
681 |
390 |
$29K |
| 92133 |
|
1,016 |
1,015 |
$23K |
| 92136 |
|
547 |
543 |
$22K |
| 92083 |
|
976 |
975 |
$19K |
| 92250 |
|
576 |
571 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
497 |
492 |
$11K |
| 67228 |
|
14 |
13 |
$2K |
| 68761 |
|
56 |
55 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
124 |
$1K |
| 76512 |
|
59 |
54 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
56 |
56 |
$715.22 |
| 92015 |
Determination of refractive state |
377 |
374 |
$16.02 |