| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
1,113 |
1,098 |
$42K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
513 |
390 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,223 |
1,175 |
$37K |
| 92134 |
|
1,397 |
1,351 |
$32K |
| 92083 |
|
583 |
577 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
817 |
799 |
$31K |
| 92133 |
|
302 |
301 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
107 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
67 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
138 |
$3K |
| 92020 |
|
78 |
77 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$363.93 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$273.47 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |