| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,885 |
6,881 |
$396K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,592 |
8,174 |
$221K |
| J9035 |
Injection, bevacizumab, 10 mg |
8,992 |
5,148 |
$176K |
| 92134 |
|
15,026 |
12,721 |
$161K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,738 |
1,670 |
$120K |
| 92226 |
|
3,821 |
1,668 |
$96K |
| 99222 |
Initial hospital care, per day, moderate complexity |
991 |
933 |
$84K |
| 92201 |
|
3,971 |
2,842 |
$69K |
| 92225 |
|
1,423 |
731 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
501 |
440 |
$24K |
| 92250 |
|
1,178 |
1,009 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
365 |
$14K |
| 92202 |
|
648 |
564 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
67 |
63 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$486.70 |
| J7999 |
Compounded drug, not otherwise classified |
41 |
26 |
$317.95 |