| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
555 |
456 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,491 |
1,342 |
$40K |
| 92134 |
|
1,718 |
1,550 |
$25K |
| 92250 |
|
826 |
716 |
$24K |
| 67210 |
|
99 |
89 |
$21K |
| 76512 |
|
387 |
234 |
$19K |
| J9035 |
Injection, bevacizumab, 10 mg |
365 |
287 |
$13K |
| 67228 |
|
20 |
13 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
113 |
93 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
75 |
73 |
$1K |
| 92273 |
|
21 |
19 |
$1K |
| 1036F |
|
25 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
24 |
24 |
$0.00 |
| 2022F |
|
13 |
12 |
$0.00 |