| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,060 |
963 |
$49K |
| J0178 |
Injection, aflibercept, 1 mg |
73 |
66 |
$36K |
| 92134 |
|
1,337 |
1,266 |
$15K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
31 |
25 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
139 |
131 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
54 |
52 |
$2K |
| 92201 |
|
225 |
220 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$947.20 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$176.56 |