| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
702 |
665 |
$345K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,971 |
4,570 |
$194K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,657 |
2,429 |
$84K |
| 92134 |
|
8,183 |
7,797 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,060 |
4,763 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,567 |
1,550 |
$37K |
| 92235 |
|
1,026 |
1,016 |
$29K |
| 67228 |
|
185 |
174 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
769 |
762 |
$24K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
53 |
51 |
$17K |
| 92226 |
|
1,106 |
1,049 |
$10K |
| 92201 |
|
1,162 |
1,148 |
$8K |
| 92250 |
|
366 |
314 |
$7K |
| 92202 |
|
1,259 |
1,239 |
$5K |
| 92225 |
|
233 |
222 |
$2K |
| 67210 |
|
13 |
13 |
$2K |
| 92133 |
|
40 |
40 |
$306.07 |