| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
315 |
264 |
$133K |
| 92134 |
|
3,267 |
2,760 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,110 |
1,038 |
$28K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
761 |
607 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
636 |
594 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
70 |
$4K |
| 92015 |
Determination of refractive state |
379 |
366 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
71 |
64 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
30 |
26 |
$584.01 |