| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
452 |
388 |
$236K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
18 |
13 |
$15K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
813 |
694 |
$13K |
| 92134 |
|
1,351 |
1,307 |
$13K |
| 92235 |
|
393 |
382 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
670 |
646 |
$7K |
| 92250 |
|
189 |
185 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
29 |
$609.84 |
| 92226 |
|
859 |
499 |
$501.90 |
| J9035 |
Injection, bevacizumab, 10 mg |
30 |
25 |
$466.20 |
| 92202 |
|
14 |
14 |
$42.99 |
| 92201 |
|
14 |
13 |
$39.86 |