| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,365 |
2,639 |
$508K |
| J0178 |
Injection, aflibercept, 1 mg |
301 |
267 |
$208K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,567 |
2,012 |
$134K |
| 92134 |
|
4,174 |
3,806 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,428 |
2,259 |
$55K |
| 92250 |
|
840 |
737 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,019 |
1,759 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$892.31 |
| 92226 |
|
30 |
25 |
$889.48 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
28 |
$744.77 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
14 |
$463.19 |
| 92201 |
|
12 |
12 |
$164.88 |