| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,699 |
2,407 |
$474K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,663 |
1,454 |
$139K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,322 |
3,253 |
$86K |
| 92134 |
|
4,191 |
4,024 |
$77K |
| 67210 |
|
165 |
153 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
471 |
471 |
$23K |
| J7999 |
Compounded drug, not otherwise classified |
151 |
137 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
203 |
$3K |
| 92250 |
|
82 |
81 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
55 |
$2K |
| 76512 |
|
18 |
13 |
$706.41 |
| 92235 |
|
12 |
12 |
$570.12 |