| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,121 |
924 |
$1.66M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,863 |
2,288 |
$490K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,524 |
1,220 |
$111K |
| 92134 |
|
4,078 |
3,506 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,077 |
1,016 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
243 |
241 |
$11K |
| 67228 |
|
16 |
12 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
147 |
137 |
$2K |
| 92250 |
|
43 |
42 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
24 |
$1K |
| 92201 |
|
108 |
107 |
$1K |