| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,335 |
4,469 |
$398K |
| J9035 |
Injection, bevacizumab, 10 mg |
6,816 |
3,749 |
$242K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,837 |
3,938 |
$142K |
| 92235 |
|
1,964 |
1,663 |
$72K |
| 92134 |
|
7,057 |
5,825 |
$67K |
| 92250 |
|
729 |
580 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
265 |
216 |
$13K |
| 92226 |
|
2,210 |
1,174 |
$11K |
| 92202 |
|
713 |
611 |
$3K |
| 92225 |
|
310 |
166 |
$2K |
| 92201 |
|
92 |
81 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
27 |
$988.36 |
| J7999 |
Compounded drug, not otherwise classified |
722 |
450 |
$0.00 |