| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,350 |
1,210 |
$102K |
| 92134 |
|
2,051 |
1,941 |
$51K |
| 92250 |
|
1,010 |
937 |
$43K |
| J9035 |
Injection, bevacizumab, 10 mg |
680 |
659 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
256 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
246 |
239 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$1K |
| 92002 |
|
15 |
14 |
$412.27 |
| J7999 |
Compounded drug, not otherwise classified |
120 |
109 |
$0.00 |