| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,708 |
3,792 |
$955K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,687 |
2,974 |
$272K |
| 92134 |
|
3,735 |
3,162 |
$61K |
| 92250 |
|
1,826 |
1,620 |
$53K |
| J0178 |
Injection, aflibercept, 1 mg |
14 |
12 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
353 |
324 |
$11K |
| 92226 |
|
455 |
307 |
$10K |
| 92235 |
|
88 |
71 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
85 |
76 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$382.94 |
| 92202 |
|
33 |
27 |
$187.21 |