| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
599 |
569 |
$272K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,248 |
2,111 |
$84K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
119 |
114 |
$46K |
| 92134 |
|
2,980 |
2,867 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
543 |
531 |
$7K |
| 92226 |
|
513 |
489 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
75 |
68 |
$2K |
| 92201 |
|
295 |
286 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
53 |
$1K |
| 92235 |
|
12 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
50 |
$1K |
| 92225 |
|
15 |
14 |
$174.25 |
| 92202 |
|
25 |
25 |
$125.94 |
| 4177F |
|
162 |
155 |
$0.00 |
| 5010F |
|
16 |
14 |
$0.00 |
| 2021F |
|
16 |
14 |
$0.00 |