| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,362 |
1,969 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,813 |
1,641 |
$55K |
| 92134 |
|
3,685 |
3,211 |
$35K |
| J0178 |
Injection, aflibercept, 1 mg |
14 |
14 |
$29K |
| J9035 |
Injection, bevacizumab, 10 mg |
577 |
241 |
$15K |
| 92235 |
|
41 |
39 |
$870.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
18 |
$284.75 |