| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,798 |
3,514 |
$529K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,199 |
2,859 |
$336K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,871 |
5,599 |
$312K |
| 92134 |
|
13,021 |
12,188 |
$286K |
| 67228 |
|
411 |
380 |
$211K |
| 92202 |
|
9,427 |
8,947 |
$208K |
| 92002 |
|
2,204 |
2,078 |
$108K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
3,487 |
3,229 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
439 |
379 |
$54K |
| 92226 |
|
5,860 |
3,360 |
$47K |
| 92235 |
|
950 |
857 |
$43K |
| 92250 |
|
2,243 |
2,122 |
$39K |
| 67210 |
|
86 |
78 |
$39K |
| 92225 |
|
2,091 |
936 |
$20K |
| 92015 |
Determination of refractive state |
431 |
395 |
$9K |
| 92285 |
|
374 |
354 |
$2K |
| 76514 |
|
30 |
30 |
$274.05 |
| J9035 |
Injection, bevacizumab, 10 mg |
18 |
16 |
$66.56 |
| 99024 |
|
62 |
56 |
$0.00 |