| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,364 |
1,007 |
$817K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14,847 |
11,926 |
$434K |
| 92134 |
|
18,197 |
15,917 |
$260K |
| J7999 |
Compounded drug, not otherwise classified |
6,203 |
4,576 |
$119K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,221 |
2,851 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,608 |
3,192 |
$92K |
| J9035 |
Injection, bevacizumab, 10 mg |
292 |
216 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
25 |
$615.57 |
| 92250 |
|
13 |
12 |
$463.22 |