| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,140 |
1,702 |
$103K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,223 |
746 |
$53K |
| 92134 |
|
1,318 |
1,115 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
217 |
195 |
$10K |
| J3590 |
Unclassified biologics |
369 |
224 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$924.88 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$885.17 |