| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,991 |
1,383 |
$1.32M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,423 |
8,311 |
$679K |
| 92134 |
|
14,229 |
12,059 |
$205K |
| J9035 |
Injection, bevacizumab, 10 mg |
6,566 |
4,514 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
417 |
316 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
129 |
120 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
240 |
204 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$859.39 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$554.51 |