| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,825 |
4,569 |
$449K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,820 |
3,784 |
$196K |
| 92134 |
|
7,706 |
6,579 |
$118K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
568 |
525 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
439 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$745.84 |