| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,808 |
906 |
$804K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,217 |
3,252 |
$216K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
69 |
54 |
$104K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
162 |
79 |
$56K |
| 92134 |
|
6,293 |
3,838 |
$39K |
| 92250 |
|
3,284 |
2,028 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
899 |
615 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,050 |
677 |
$18K |
| 92228 |
|
898 |
637 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
79 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
232 |
138 |
$3K |
| 92226 |
|
1,515 |
616 |
$3K |
| 92235 |
|
36 |
24 |
$1K |
| 92201 |
|
351 |
227 |
$217.98 |
| 92225 |
|
206 |
89 |
$145.27 |
| 92202 |
|
18 |
13 |
$80.02 |