| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
467 |
391 |
$21K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
72 |
64 |
$13K |
| 92136 |
|
311 |
271 |
$3K |
| 92134 |
|
157 |
156 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
13 |
$912.76 |
| J9035 |
Injection, bevacizumab, 10 mg |
15 |
14 |
$676.33 |