| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,629 |
4,144 |
$635K |
| 92134 |
|
5,506 |
4,991 |
$106K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,263 |
1,149 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
570 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
405 |
355 |
$12K |
| J3590 |
Unclassified biologics |
232 |
209 |
$10K |
| J0178 |
Injection, aflibercept, 1 mg |
15 |
14 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
61 |
53 |
$3K |
| 92250 |
|
48 |
42 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
26 |
$635.85 |