| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,407 |
8,958 |
$581K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,967 |
2,321 |
$225K |
| 92134 |
|
7,479 |
6,659 |
$115K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,115 |
1,018 |
$99K |
| 92202 |
|
3,479 |
2,946 |
$41K |
| 92015 |
Determination of refractive state |
1,011 |
948 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
188 |
180 |
$21K |
| 92226 |
|
2,834 |
1,847 |
$16K |
| 67228 |
|
48 |
43 |
$15K |
| J9035 |
Injection, bevacizumab, 10 mg |
578 |
475 |
$14K |
| 92201 |
|
944 |
880 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
19 |
15 |
$10K |
| 92002 |
|
356 |
337 |
$9K |
| 92235 |
|
368 |
364 |
$8K |
| 92250 |
|
617 |
590 |
$8K |
| 92225 |
|
812 |
451 |
$5K |
| 76519 |
|
41 |
39 |
$2K |
| 92083 |
|
83 |
82 |
$2K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
54 |
39 |
$1K |
| 92133 |
|
67 |
67 |
$705.97 |
| J3490 |
Unclassified drugs |
93 |
80 |
$115.56 |
| 92285 |
|
77 |
76 |
$58.28 |