| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
229 |
223 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,974 |
1,859 |
$56K |
| 92134 |
|
2,368 |
2,249 |
$52K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,617 |
1,506 |
$38K |
| J9035 |
Injection, bevacizumab, 10 mg |
628 |
581 |
$35K |
| 92250 |
|
60 |
57 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
70 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
28 |
$335.45 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$166.09 |