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These patients are more likely to have type 2 diabetes and high cholesterol. The use of aspirin and nonsteroidal anti-inflammatory drugs may be protective factors. [Ophthalmic Surg Lasers Imaging Retina. 2020;51S35-S42.].Background and objective To evaluate the financial sustainability of teleophthalmology screening for diabetic retinopathy (DR) using telehealth billing codes. Patients and methods The authors performed an Institutional Review Board-approved retrospective review of medical records, billing data, and quality metrics at the University of Calif