| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,278 |
1,137 |
$53K |
| J9035 |
Injection, bevacizumab, 10 mg |
821 |
794 |
$43K |
| 92134 |
|
1,460 |
1,192 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
187 |
184 |
$7K |
| 92250 |
|
223 |
221 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
78 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
113 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
51 |
$3K |