| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
610 |
562 |
$313K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,336 |
2,143 |
$96K |
| 92134 |
|
5,328 |
5,207 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,541 |
3,445 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
703 |
695 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
730 |
727 |
$22K |
| 67228 |
|
115 |
99 |
$19K |
| J9035 |
Injection, bevacizumab, 10 mg |
836 |
761 |
$18K |
| 92235 |
|
472 |
463 |
$15K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
54 |
45 |
$12K |
| 92201 |
|
1,368 |
1,349 |
$9K |
| 92226 |
|
978 |
872 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
266 |
$7K |
| 92202 |
|
1,182 |
1,165 |
$5K |
| 92250 |
|
178 |
175 |
$3K |
| 92225 |
|
244 |
214 |
$2K |