| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,262 |
1,093 |
$1.48M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,403 |
2,618 |
$672K |
| 92134 |
|
7,742 |
6,440 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,964 |
2,618 |
$89K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,141 |
784 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,320 |
$60K |
| 92250 |
|
640 |
565 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
443 |
395 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
517 |
447 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
160 |
$10K |
| 92226 |
|
95 |
67 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
25 |
$647.40 |
| 92225 |
|
16 |
12 |
$579.50 |