| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,811 |
3,167 |
$395K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,514 |
4,782 |
$235K |
| 92134 |
|
8,105 |
7,152 |
$170K |
| J0178 |
Injection, aflibercept, 1 mg |
215 |
169 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
505 |
443 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
105 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
778 |
629 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
39 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
107 |
38 |
$3K |
| 92250 |
|
275 |
214 |
$3K |
| J7999 |
Compounded drug, not otherwise classified |
395 |
331 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
51 |
$2K |
| 92235 |
|
51 |
37 |
$2K |