| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,633 |
6,290 |
$270K |
| 92134 |
|
6,733 |
6,404 |
$73K |
| 92201 |
|
4,394 |
3,414 |
$62K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,369 |
2,086 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
664 |
356 |
$33K |
| J9035 |
Injection, bevacizumab, 10 mg |
472 |
409 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
44 |
44 |
$5K |
| 92226 |
|
2,565 |
1,438 |
$4K |
| 92202 |
|
1,142 |
1,110 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$632.02 |
| J7999 |
Compounded drug, not otherwise classified |
14 |
12 |
$0.00 |