| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
959 |
807 |
$70K |
| 92250 |
|
640 |
632 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
670 |
666 |
$22K |
| 92134 |
|
583 |
574 |
$13K |
| 67210 |
|
38 |
28 |
$11K |
| 92235 |
|
192 |
190 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
45 |
$957.76 |
| J0178 |
Injection, aflibercept, 1 mg |
277 |
240 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
45 |
36 |
$0.00 |