| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2778 |
Injection, ranibizumab, 0.1 mg |
74 |
68 |
$26K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
585 |
550 |
$26K |
| J0178 |
Injection, aflibercept, 1 mg |
25 |
24 |
$14K |
| 92134 |
|
1,386 |
1,337 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
189 |
181 |
$3K |
| 92226 |
|
271 |
253 |
$2K |
| 92201 |
|
37 |
36 |
$200.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$140.36 |
| 4177F |
|
24 |
24 |
$0.00 |