| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
29 |
27 |
$33K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
426 |
356 |
$31K |
| 92134 |
|
1,592 |
1,407 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
703 |
631 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
198 |
178 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
193 |
162 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
93 |
82 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
24 |
$2K |
| 92083 |
|
67 |
62 |
$2K |