| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,267 |
1,221 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,905 |
1,832 |
$47K |
| 92134 |
|
2,941 |
2,699 |
$23K |
| J0178 |
Injection, aflibercept, 1 mg |
68 |
64 |
$16K |
| 92226 |
|
743 |
543 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
347 |
343 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$758.86 |
| 92202 |
|
223 |
207 |
$522.74 |
| 92225 |
|
15 |
14 |
$294.12 |
| 92201 |
|
43 |
42 |
$107.87 |
| 2022F |
|
68 |
63 |
$0.00 |