| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,518 |
4,141 |
$556K |
| 92134 |
|
9,028 |
8,708 |
$159K |
| J0178 |
Injection, aflibercept, 1 mg |
423 |
411 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,904 |
2,781 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,177 |
1,118 |
$57K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,852 |
1,707 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
675 |
652 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
861 |
846 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
351 |
335 |
$3K |
| 99072 |
|
208 |
191 |
$0.00 |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
12 |
12 |
$0.00 |