| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,017 |
1,999 |
$43K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
119 |
100 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,572 |
1,545 |
$14K |
| 92134 |
|
897 |
874 |
$14K |
| 92133 |
|
602 |
598 |
$11K |
| 92083 |
|
612 |
608 |
$10K |
| 65855 |
|
94 |
94 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
80 |
68 |
$4K |
| 68761 |
|
18 |
18 |
$977.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
119 |
$854.84 |
| 92100 |
|
18 |
12 |
$417.01 |
| 92250 |
|
12 |
12 |
$381.83 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
27 |
$323.25 |
| 76514 |
|
96 |
96 |
$313.58 |
| 92020 |
|
14 |
14 |
$230.52 |