| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
327 |
281 |
$213K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,983 |
2,530 |
$186K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,280 |
1,936 |
$57K |
| 92134 |
|
4,213 |
3,777 |
$22K |
| 92226 |
|
1,068 |
597 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
427 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
441 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$936.36 |
| 92202 |
|
505 |
503 |
$932.66 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
61 |
54 |
$248.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$209.68 |
| 92201 |
|
12 |
12 |
$54.96 |