| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,707 |
2,282 |
$787K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,944 |
2,897 |
$117K |
| 92226 |
|
2,404 |
1,217 |
$65K |
| 92134 |
|
1,165 |
1,148 |
$27K |
| J7999 |
Compounded drug, not otherwise classified |
637 |
410 |
$26K |
| 92020 |
|
1,489 |
1,471 |
$23K |
| 92202 |
|
1,522 |
1,493 |
$21K |
| 67228 |
|
19 |
12 |
$3K |
| 92235 |
|
32 |
18 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
327 |
326 |
$2K |
| 92250 |
|
37 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |