| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
122 |
95 |
$114K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,234 |
1,086 |
$47K |
| 92134 |
|
1,385 |
1,346 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
575 |
568 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
250 |
197 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
192 |
186 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
165 |
147 |
$3K |
| 76519 |
|
46 |
40 |
$1K |
| 92285 |
|
159 |
153 |
$1K |
| 99243 |
|
14 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
25 |
$636.59 |
| 92015 |
Determination of refractive state |
142 |
141 |
$564.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$276.64 |