| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
43 |
38 |
$43K |
| 92134 |
|
1,790 |
1,447 |
$30K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
726 |
582 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
167 |
$11K |
| 92201 |
|
901 |
823 |
$10K |
| 92235 |
|
102 |
102 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
140 |
140 |
$5K |
| 92226 |
|
726 |
461 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
143 |
121 |
$4K |