| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
910 |
595 |
$16K |
| 92134 |
|
1,364 |
1,066 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
383 |
240 |
$11K |
| 92201 |
|
1,375 |
931 |
$5K |
| J9035 |
Injection, bevacizumab, 10 mg |
176 |
100 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
155 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
66 |
$2K |