| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,365 |
1,244 |
$1.01M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,431 |
3,741 |
$627K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,450 |
6,872 |
$177K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,253 |
1,807 |
$125K |
| 92134 |
|
8,032 |
7,350 |
$116K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
30 |
28 |
$28K |
| 92226 |
|
1,356 |
880 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
303 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
75 |
71 |
$978.60 |
| 92202 |
|
143 |
132 |
$345.30 |
| 92133 |
|
12 |
12 |
$234.00 |