| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
664 |
625 |
$803K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,005 |
1,884 |
$76K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
928 |
884 |
$45K |
| J9035 |
Injection, bevacizumab, 10 mg |
645 |
608 |
$42K |
| 92134 |
|
2,362 |
2,260 |
$33K |
| 92235 |
|
337 |
327 |
$19K |
| 92250 |
|
934 |
892 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
387 |
365 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
159 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
116 |
113 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
99 |
$5K |
| 67228 |
|
13 |
12 |
$2K |