| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
307 |
225 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
451 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
387 |
358 |
$11K |
| 92134 |
|
677 |
626 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$2K |
| 92136 |
|
148 |
129 |
$860.82 |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
15 |
13 |
$686.67 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
24 |
$477.83 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$401.97 |
| J9035 |
Injection, bevacizumab, 10 mg |
18 |
14 |
$242.05 |
| 92250 |
|
13 |
12 |
$195.05 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
14 |
$0.00 |