| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,027 |
5,201 |
$373K |
| 92134 |
|
8,134 |
7,332 |
$144K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,649 |
1,433 |
$31K |
| 92250 |
|
526 |
496 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
889 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
214 |
187 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
37 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
60 |
55 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$723.84 |
| 92235 |
|
14 |
12 |
$332.15 |
| J7999 |
Compounded drug, not otherwise classified |
398 |
334 |
$0.00 |