| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
285 |
232 |
$231K |
| J9035 |
Injection, bevacizumab, 10 mg |
662 |
554 |
$36K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,031 |
849 |
$32K |
| 92134 |
|
1,168 |
1,065 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
213 |
198 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
67 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
25 |
$1K |
| 92250 |
|
44 |
42 |
$842.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$582.24 |
| 92235 |
|
15 |
12 |
$443.52 |