| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,217 |
1,141 |
$62K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,250 |
1,221 |
$54K |
| 92134 |
|
3,437 |
3,290 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
715 |
$40K |
| J0178 |
Injection, aflibercept, 1 mg |
75 |
65 |
$36K |
| 92201 |
|
1,640 |
1,620 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
236 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
116 |
113 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
104 |
96 |
$4K |
| 92226 |
|
342 |
296 |
$2K |
| 92250 |
|
39 |
38 |
$766.05 |
| 92202 |
|
16 |
15 |
$153.90 |