| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,110 |
2,422 |
$1.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,369 |
3,144 |
$397K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,823 |
2,426 |
$335K |
| 76512 |
|
2,736 |
2,134 |
$165K |
| 92134 |
|
2,919 |
2,582 |
$117K |
| 92226 |
|
991 |
712 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
331 |
$34K |
| 92201 |
|
1,303 |
1,133 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
144 |
$6K |
| 99221 |
|
38 |
37 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
26 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$1K |