| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
922 |
707 |
$133K |
| 92134 |
|
2,039 |
1,836 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
578 |
438 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
618 |
555 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
824 |
716 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
108 |
$4K |
| 92201 |
|
29 |
29 |
$297.27 |