| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
166 |
116 |
$236K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
770 |
650 |
$77K |
| 92134 |
|
844 |
734 |
$20K |
| J9035 |
Injection, bevacizumab, 10 mg |
270 |
189 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
168 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
77 |
$8K |
| 92250 |
|
175 |
162 |
$7K |
| 92235 |
|
28 |
27 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
92 |
67 |
$1K |
| J3590 |
Unclassified biologics |
35 |
28 |
$283.48 |