| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
335 |
314 |
$311K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,346 |
2,150 |
$105K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,329 |
1,190 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
789 |
731 |
$56K |
| 92134 |
|
3,245 |
2,958 |
$46K |
| J9035 |
Injection, bevacizumab, 10 mg |
480 |
424 |
$19K |
| 92250 |
|
311 |
286 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
66 |
53 |
$4K |