| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
1,248 |
1,228 |
$14K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
81 |
70 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
86 |
83 |
$3K |
| 92226 |
|
382 |
225 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
130 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
59 |
57 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
35 |
28 |
$1K |
| 92235 |
|
14 |
14 |
$913.36 |
| 92250 |
|
12 |
12 |
$437.77 |
| 92202 |
|
12 |
12 |
$78.54 |
| 92201 |
|
12 |
12 |
$59.60 |