| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
930 |
851 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
869 |
837 |
$35K |
| 92134 |
|
1,741 |
1,673 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
403 |
359 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
204 |
$5K |
| 92202 |
|
772 |
735 |
$4K |
| 67228 |
|
13 |
13 |
$2K |
| 92250 |
|
89 |
85 |
$2K |
| 92235 |
|
41 |
41 |
$2K |
| 92201 |
|
70 |
70 |
$613.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
29 |
$578.84 |