| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,057 |
1,000 |
$45K |
| 92134 |
|
2,194 |
2,137 |
$39K |
| J9035 |
Injection, bevacizumab, 10 mg |
444 |
421 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
706 |
699 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
461 |
449 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
279 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$3K |
| J3590 |
Unclassified biologics |
152 |
147 |
$3K |