| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2778 |
Injection, ranibizumab, 0.1 mg |
354 |
271 |
$95K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,071 |
867 |
$56K |
| 92242 |
|
712 |
602 |
$54K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,378 |
1,063 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
503 |
$20K |
| 92134 |
|
1,335 |
935 |
$16K |
| 92250 |
|
601 |
594 |
$16K |
| 92273 |
|
273 |
257 |
$11K |
| 92226 |
|
843 |
638 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
322 |
248 |
$8K |
| 92235 |
|
156 |
125 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
115 |
80 |
$4K |
| 92202 |
|
248 |
201 |
$1K |