| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
569 |
421 |
$635K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,368 |
1,058 |
$224K |
| 92134 |
|
2,494 |
2,162 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
979 |
897 |
$32K |
| J9035 |
Injection, bevacizumab, 10 mg |
264 |
202 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$541.36 |
| 92202 |
|
28 |
28 |
$209.13 |