| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67228 |
|
640 |
537 |
$200K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,143 |
3,103 |
$141K |
| 92134 |
|
3,936 |
3,894 |
$66K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,517 |
1,448 |
$65K |
| 92235 |
|
1,327 |
1,309 |
$60K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
103 |
102 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
332 |
316 |
$22K |
| 92201 |
|
774 |
587 |
$12K |
| 92250 |
|
730 |
725 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
170 |
158 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
80 |
80 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
40 |
25 |
$2K |
| 92226 |
|
122 |
81 |
$565.75 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$555.56 |
| J7999 |
Compounded drug, not otherwise classified |
138 |
125 |
$241.30 |
| 92225 |
|
40 |
25 |
$73.71 |
| 67210 |
|
14 |
14 |
$58.94 |