| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,259 |
1,081 |
$143K |
| J9035 |
Injection, bevacizumab, 10 mg |
957 |
851 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
906 |
880 |
$54K |
| 92134 |
|
2,396 |
2,259 |
$51K |
| 67228 |
|
103 |
85 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
922 |
864 |
$31K |
| 92226 |
|
1,165 |
872 |
$24K |
| 92201 |
|
1,362 |
1,270 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
77 |
$6K |
| 92020 |
|
363 |
356 |
$5K |
| 92202 |
|
648 |
619 |
$3K |
| 92225 |
|
87 |
62 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
40 |
$2K |
| 76512 |
|
14 |
13 |
$435.02 |