| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
653 |
460 |
$322K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,720 |
1,698 |
$77K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,425 |
1,321 |
$65K |
| 92134 |
|
3,666 |
3,496 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
868 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
254 |
244 |
$7K |
| 92226 |
|
456 |
348 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
223 |
198 |
$6K |
| 92273 |
|
95 |
94 |
$5K |
| 92235 |
|
68 |
68 |
$3K |
| 92225 |
|
69 |
61 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1K |
| 92201 |
|
54 |
54 |
$610.49 |