| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,498 |
1,257 |
$249K |
| J0178 |
Injection, aflibercept, 1 mg |
214 |
200 |
$221K |
| 92134 |
|
2,672 |
2,368 |
$45K |
| J9035 |
Injection, bevacizumab, 10 mg |
481 |
375 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
968 |
896 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
128 |
123 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$889.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
19 |
$186.40 |