| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
367 |
223 |
$32K |
| 92134 |
|
1,662 |
1,131 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
359 |
267 |
$14K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
721 |
439 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
54 |
36 |
$792.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
53 |
$619.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
223 |
143 |
$295.87 |
| 92226 |
|
423 |
159 |
$0.66 |
| 92133 |
|
19 |
12 |
$0.00 |