| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,863 |
1,533 |
$721K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,893 |
1,551 |
$136K |
| 92134 |
|
3,201 |
2,741 |
$124K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,119 |
1,038 |
$58K |
| 67228 |
|
102 |
89 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,078 |
665 |
$34K |
| 92250 |
|
606 |
591 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
500 |
461 |
$20K |
| 92235 |
|
164 |
156 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
117 |
$14K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
92 |
92 |
$0.00 |
| 99024 |
|
111 |
103 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
143 |
139 |
$0.00 |
| 2022F |
|
15 |
14 |
$0.00 |