| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,241 |
959 |
$1.57M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,432 |
2,016 |
$416K |
| 67228 |
|
540 |
440 |
$174K |
| 92134 |
|
9,037 |
7,918 |
$169K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,396 |
1,961 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,532 |
1,436 |
$62K |
| 92226 |
|
2,357 |
1,341 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,171 |
2,041 |
$54K |
| J9035 |
Injection, bevacizumab, 10 mg |
577 |
483 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
662 |
548 |
$11K |
| 92225 |
|
359 |
199 |
$9K |
| 92201 |
|
511 |
404 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
83 |
$4K |
| 92235 |
|
79 |
67 |
$3K |
| 92202 |
|
270 |
223 |
$2K |
| 92250 |
|
14 |
13 |
$387.43 |
| 99072 |
|
25 |
25 |
$10.00 |