| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
704 |
663 |
$316K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
664 |
602 |
$309K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,379 |
2,209 |
$98K |
| 92134 |
|
3,074 |
2,922 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
845 |
798 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
195 |
186 |
$7K |
| 92201 |
|
812 |
801 |
$5K |
| 92226 |
|
565 |
548 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
78 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
138 |
$3K |
| 92202 |
|
404 |
394 |
$1K |
| 92225 |
|
88 |
80 |
$803.40 |
| 5010F |
|
14 |
12 |
$0.00 |
| 2021F |
|
14 |
12 |
$0.00 |
| 4177F |
|
434 |
408 |
$0.00 |