| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,952 |
1,407 |
$296K |
| J0178 |
Injection, aflibercept, 1 mg |
116 |
92 |
$127K |
| 92134 |
|
2,663 |
2,415 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,077 |
980 |
$31K |
| J9035 |
Injection, bevacizumab, 10 mg |
508 |
350 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
476 |
425 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
239 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$808.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$532.72 |