| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
375 |
370 |
$39K |
| 92134 |
|
1,007 |
988 |
$36K |
| J9035 |
Injection, bevacizumab, 10 mg |
296 |
291 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
118 |
117 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
299 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
120 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
66 |
64 |
$5K |