| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
706 |
483 |
$50K |
| J9035 |
Injection, bevacizumab, 10 mg |
669 |
462 |
$14K |
| 92134 |
|
668 |
523 |
$5K |
| 92235 |
|
284 |
217 |
$3K |
| 76512 |
|
298 |
193 |
$3K |
| 67500 |
|
230 |
164 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
178 |
$2K |
| 92250 |
|
304 |
262 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
80 |
78 |
$613.69 |
| 92226 |
|
105 |
60 |
$559.05 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
188 |
138 |
$69.87 |