| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,363 |
1,218 |
$536K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,433 |
7,355 |
$246K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,539 |
4,961 |
$203K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,833 |
4,651 |
$95K |
| 92134 |
|
14,106 |
13,396 |
$81K |
| 92235 |
|
1,872 |
1,862 |
$47K |
| 92250 |
|
1,932 |
1,919 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
566 |
557 |
$20K |
| 92226 |
|
3,031 |
2,336 |
$15K |
| 92201 |
|
1,224 |
1,209 |
$10K |
| 92202 |
|
2,029 |
1,978 |
$9K |
| 92225 |
|
390 |
285 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
81 |
71 |
$2K |
| 92133 |
|
314 |
311 |
$2K |
| 92083 |
|
65 |
65 |
$742.58 |