| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,263 |
2,224 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,301 |
1,263 |
$17K |
| 92134 |
|
2,177 |
2,012 |
$14K |
| 92226 |
|
1,171 |
1,156 |
$13K |
| 76512 |
|
630 |
626 |
$8K |
| 92201 |
|
1,058 |
1,043 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
81 |
73 |
$3K |
| 92202 |
|
576 |
567 |
$921.24 |
| J9035 |
Injection, bevacizumab, 10 mg |
40 |
36 |
$835.59 |
| 67515 |
|
26 |
25 |
$177.50 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$147.84 |