| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,107 |
1,922 |
$32K |
| 92134 |
|
2,342 |
2,208 |
$19K |
| 92273 |
|
681 |
675 |
$17K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
375 |
343 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
433 |
423 |
$10K |
| 67228 |
|
48 |
38 |
$10K |
| 92250 |
|
416 |
395 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
207 |
$6K |
| 92025 |
|
618 |
615 |
$6K |
| 92235 |
|
222 |
218 |
$5K |
| 92201 |
|
1,016 |
965 |
$5K |
| 93886 |
|
100 |
98 |
$5K |
| 93892 |
|
98 |
97 |
$4K |
| 93890 |
|
99 |
98 |
$4K |
| 92083 |
|
267 |
262 |
$4K |
| 92202 |
|
644 |
605 |
$4K |
| 67210 |
|
42 |
36 |
$4K |
| 92283 |
|
463 |
461 |
$3K |
| 92145 |
|
700 |
658 |
$3K |
| 92226 |
|
204 |
156 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
318 |
298 |
$1K |
| 92133 |
|
27 |
26 |
$231.59 |
| 92020 |
|
27 |
27 |
$139.04 |