| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,437 |
1,703 |
$112K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
863 |
675 |
$71K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,582 |
1,553 |
$7K |
| 92015 |
Determination of refractive state |
83 |
83 |
$830.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
915 |
679 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
915 |
679 |
$0.00 |