| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
990 |
983 |
$31K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
652 |
562 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
301 |
301 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
609 |
569 |
$14K |
| 92134 |
|
1,176 |
1,159 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
546 |
474 |
$11K |
| 92250 |
|
574 |
573 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
203 |
$8K |
| 67228 |
|
12 |
12 |
$4K |
| 92202 |
|
25 |
25 |
$119.44 |
| 92201 |
|
13 |
13 |
$90.13 |