| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
224 |
220 |
$361K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,365 |
2,331 |
$198K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,009 |
949 |
$95K |
| 92250 |
|
2,626 |
2,612 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
399 |
398 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
128 |
113 |
$8K |
| 92134 |
|
292 |
286 |
$8K |
| J7999 |
Compounded drug, not otherwise classified |
71 |
69 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
31 |
$4K |
| 92015 |
Determination of refractive state |
135 |
133 |
$3K |
| V2199 |
Not otherwise classified, single vision lens |
12 |
12 |
$940.00 |
| 92136 |
|
26 |
24 |
$765.71 |