| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
848 |
708 |
$179K |
| 92134 |
|
1,667 |
1,610 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
421 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,041 |
1,039 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
1,138 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
437 |
436 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
273 |
238 |
$10K |
| 92250 |
|
240 |
239 |
$8K |
| 92133 |
|
267 |
265 |
$6K |
| 92083 |
|
284 |
283 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
135 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
125 |
121 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
219 |
$3K |