| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
903 |
836 |
$85K |
| J0178 |
Injection, aflibercept, 1 mg |
29 |
28 |
$53K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
467 |
369 |
$39K |
| 92134 |
|
1,165 |
1,048 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
96 |
92 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
106 |
78 |
$7K |
| 92202 |
|
409 |
382 |
$5K |
| 92226 |
|
131 |
68 |
$2K |
| 92201 |
|
83 |
64 |
$2K |
| 92235 |
|
15 |
12 |
$958.85 |