| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,786 |
1,420 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,738 |
1,668 |
$63K |
| 92134 |
|
2,608 |
2,032 |
$53K |
| J9035 |
Injection, bevacizumab, 10 mg |
393 |
298 |
$31K |
| 92235 |
|
580 |
578 |
$27K |
| 92250 |
|
516 |
515 |
$14K |
| J7999 |
Compounded drug, not otherwise classified |
672 |
553 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
101 |
$4K |
| 92083 |
|
12 |
12 |
$175.45 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$157.78 |