| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,653 |
2,127 |
$419K |
| J0178 |
Injection, aflibercept, 1 mg |
242 |
199 |
$284K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,198 |
3,805 |
$109K |
| 92134 |
|
6,545 |
5,964 |
$102K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,472 |
1,185 |
$78K |
| 92226 |
|
3,185 |
1,899 |
$63K |
| 67210 |
|
97 |
67 |
$26K |
| 67228 |
|
71 |
54 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
305 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
227 |
$12K |
| 92225 |
|
411 |
220 |
$11K |
| 92235 |
|
257 |
219 |
$10K |
| 92250 |
|
199 |
172 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
276 |
$6K |
| 92201 |
|
547 |
506 |
$5K |
| 92202 |
|
591 |
513 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
17 |
$738.36 |