| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
1,482 |
1,076 |
$11K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
106 |
68 |
$3K |
| 92226 |
|
385 |
199 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
42 |
40 |
$818.58 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
45 |
37 |
$437.25 |
| 92250 |
|
13 |
12 |
$425.07 |
| 92201 |
|
33 |
27 |
$172.59 |
| J9035 |
Injection, bevacizumab, 10 mg |
18 |
12 |
$49.80 |
| 92202 |
|
17 |
13 |
$39.76 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
69 |
63 |
$0.00 |
| 1036F |
|
350 |
303 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
346 |
291 |
$0.00 |