| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,375 |
1,128 |
$60K |
| J9035 |
Injection, bevacizumab, 10 mg |
992 |
826 |
$29K |
| J0178 |
Injection, aflibercept, 1 mg |
54 |
38 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,149 |
1,015 |
$17K |
| 92134 |
|
2,331 |
2,000 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,094 |
868 |
$10K |
| 92226 |
|
838 |
473 |
$3K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
16 |
14 |
$3K |
| 92250 |
|
180 |
136 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
55 |
$764.21 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
24 |
$675.58 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$360.19 |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$340.78 |
| 92225 |
|
122 |
66 |
$276.16 |
| 92133 |
|
22 |
16 |
$22.65 |