| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
388 |
297 |
$497K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,819 |
2,000 |
$423K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,963 |
4,300 |
$141K |
| 92134 |
|
5,644 |
4,952 |
$93K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,436 |
1,043 |
$67K |
| 92226 |
|
1,577 |
911 |
$34K |
| 92201 |
|
3,529 |
3,189 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
336 |
$14K |
| 92015 |
Determination of refractive state |
546 |
483 |
$10K |
| 92250 |
|
251 |
213 |
$7K |
| 92235 |
|
59 |
53 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
55 |
$1K |
| 92020 |
|
60 |
48 |
$839.02 |
| 92202 |
|
61 |
43 |
$229.27 |