| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
2,024 |
1,980 |
$27K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,084 |
970 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
949 |
907 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
327 |
326 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
225 |
211 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92250 |
|
13 |
13 |
$140.25 |