| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
634 |
588 |
$237K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,369 |
1,271 |
$52K |
| 92134 |
|
1,441 |
1,385 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
332 |
323 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
110 |
109 |
$5K |
| 92201 |
|
659 |
647 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
92 |
89 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
26 |
$929.09 |
| 92250 |
|
49 |
43 |
$821.43 |
| 92235 |
|
14 |
14 |
$431.61 |
| 92202 |
|
66 |
66 |
$180.95 |