| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
169 |
120 |
$185K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,007 |
2,646 |
$137K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,588 |
1,221 |
$134K |
| 92134 |
|
4,683 |
3,980 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
572 |
527 |
$35K |
| 92235 |
|
701 |
647 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
719 |
549 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
272 |
$19K |
| 92250 |
|
426 |
382 |
$12K |
| 67228 |
|
15 |
12 |
$7K |
| 92202 |
|
386 |
341 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
90 |
$3K |
| 92136 |
|
16 |
16 |
$486.88 |
| 92201 |
|
25 |
25 |
$345.80 |