| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,849 |
3,191 |
$476K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,206 |
5,211 |
$324K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,063 |
3,571 |
$254K |
| 92134 |
|
8,705 |
7,768 |
$218K |
| 67228 |
|
251 |
222 |
$131K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
646 |
621 |
$61K |
| 92202 |
|
3,632 |
3,211 |
$47K |
| 92201 |
|
1,919 |
1,796 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
588 |
560 |
$42K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
579 |
498 |
$27K |
| J9035 |
Injection, bevacizumab, 10 mg |
903 |
812 |
$17K |
| 92250 |
|
542 |
523 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
138 |
129 |
$14K |
| 92002 |
|
229 |
218 |
$10K |
| 92226 |
|
2,910 |
1,430 |
$9K |
| 67210 |
|
13 |
12 |
$6K |
| 92235 |
|
71 |
71 |
$6K |
| 92225 |
|
617 |
317 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
171 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |