| Code | Description | Claims | Beneficiaries | Total Paid |
| 92134 |
|
9,434 |
7,795 |
$76K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,534 |
1,143 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,419 |
3,568 |
$51K |
| J0178 |
Injection, aflibercept, 1 mg |
63 |
37 |
$26K |
| J9035 |
Injection, bevacizumab, 10 mg |
356 |
239 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
215 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$818.52 |
| 92202 |
|
17 |
14 |
$87.33 |