| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
992 |
672 |
$118K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,068 |
800 |
$118K |
| 92134 |
|
1,752 |
1,135 |
$58K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
367 |
214 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
531 |
299 |
$39K |
| 92201 |
|
1,488 |
955 |
$35K |
| 92250 |
|
624 |
380 |
$19K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
201 |
97 |
$18K |
| 99205 |
Prolong outpt/office vis |
87 |
43 |
$14K |
| J9035 |
Injection, bevacizumab, 10 mg |
98 |
74 |
$7K |
| 99070 |
|
376 |
221 |
$4K |
| 92015 |
Determination of refractive state |
16 |
13 |
$349.50 |
| 99024 |
|
264 |
160 |
$0.00 |