| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,402 |
1,794 |
$186K |
| J0178 |
Injection, aflibercept, 1 mg |
295 |
227 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
1,021 |
$75K |
| 92134 |
|
3,795 |
3,635 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
410 |
393 |
$22K |
| J9035 |
Injection, bevacizumab, 10 mg |
364 |
278 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
100 |
97 |
$5K |
| 92235 |
|
53 |
51 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92225 |
|
63 |
39 |
$792.99 |
| 92202 |
|
103 |
97 |
$731.58 |
| 92020 |
|
25 |
25 |
$278.84 |