| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
769 |
575 |
$517K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,844 |
1,799 |
$127K |
| 92250 |
|
3,059 |
2,955 |
$79K |
| 92134 |
|
3,058 |
2,960 |
$69K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
873 |
770 |
$41K |
| J0177 |
Injection, aflibercept hd, 1 mg |
52 |
45 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
456 |
$27K |
| 92226 |
|
727 |
567 |
$18K |
| 92225 |
|
24 |
14 |
$587.92 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
25 |
25 |
$113.66 |