| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,512 |
1,115 |
$273K |
| 92134 |
|
2,791 |
2,252 |
$57K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,026 |
724 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
579 |
503 |
$23K |
| 67228 |
|
39 |
28 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
227 |
213 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
41 |
$2K |
| 92250 |
|
12 |
12 |
$411.49 |
| 2022F |
|
14 |
13 |
$0.00 |