| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,070 |
896 |
$180K |
| J0178 |
Injection, aflibercept, 1 mg |
29 |
25 |
$30K |
| 92134 |
|
2,004 |
1,839 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
808 |
737 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
812 |
727 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
31 |
$2K |