| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
715 |
629 |
$106K |
| J0178 |
Injection, aflibercept, 1 mg |
46 |
39 |
$46K |
| 92134 |
|
2,439 |
2,251 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
953 |
851 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
546 |
499 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
492 |
$10K |
| 92226 |
|
13 |
13 |
$221.27 |