| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,261 |
5,340 |
$395K |
| J0178 |
Injection, aflibercept, 1 mg |
312 |
258 |
$309K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
447 |
361 |
$173K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,492 |
2,248 |
$53K |
| 92134 |
|
7,097 |
6,256 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,418 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
556 |
365 |
$22K |
| J9035 |
Injection, bevacizumab, 10 mg |
194 |
175 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45 |
42 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12 |
12 |
$356.16 |