| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,150 |
1,074 |
$48K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
133 |
103 |
$28K |
| 68761 |
|
297 |
279 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
413 |
404 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
79 |
77 |
$13K |
| 92226 |
|
391 |
206 |
$13K |
| 92250 |
|
370 |
361 |
$13K |
| 92134 |
|
338 |
321 |
$11K |
| J9035 |
Injection, bevacizumab, 10 mg |
34 |
26 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
249 |
$9K |
| 92285 |
|
199 |
195 |
$8K |
| 92225 |
|
193 |
104 |
$7K |
| 92083 |
|
147 |
145 |
$5K |
| 92283 |
|
190 |
185 |
$5K |
| 92133 |
|
136 |
136 |
$3K |
| 92136 |
|
70 |
65 |
$3K |
| 92025 |
|
88 |
88 |
$3K |
| 92020 |
|
99 |
99 |
$2K |
| 92284 |
|
51 |
48 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |
| 83516 |
|
24 |
12 |
$877.03 |
| 76512 |
|
14 |
12 |
$682.69 |
| 92002 |
|
12 |
12 |
$286.09 |