| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,016 |
793 |
$171K |
| J0178 |
Injection, aflibercept, 1 mg |
54 |
37 |
$60K |
| 92134 |
|
2,002 |
1,801 |
$29K |
| J9035 |
Injection, bevacizumab, 10 mg |
396 |
232 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
358 |
338 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
101 |
83 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$270.34 |