| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
196 |
135 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
975 |
972 |
$59K |
| 92250 |
|
1,162 |
861 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,065 |
1,013 |
$40K |
| 92134 |
|
1,098 |
823 |
$33K |
| 68761 |
|
121 |
116 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
310 |
213 |
$22K |
| 92133 |
|
638 |
485 |
$20K |
| 92020 |
|
972 |
731 |
$17K |
| 92136 |
|
281 |
257 |
$16K |
| 92083 |
|
470 |
467 |
$13K |
| 92202 |
|
786 |
617 |
$10K |
| 66821 |
|
36 |
26 |
$4K |
| 76514 |
|
149 |
83 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
26 |
$492.93 |