| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
180 |
137 |
$171K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,150 |
2,376 |
$114K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,050 |
908 |
$102K |
| 92134 |
|
3,029 |
2,810 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
197 |
184 |
$11K |
| 92201 |
|
1,123 |
1,081 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
257 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
76 |
40 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
40 |
$700.31 |
| J9035 |
Injection, bevacizumab, 10 mg |
12 |
12 |
$590.22 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
13 |
$146.79 |