| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
436 |
372 |
$480K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,574 |
3,106 |
$137K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,625 |
2,310 |
$131K |
| 92134 |
|
5,994 |
5,757 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
938 |
904 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,059 |
1,025 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
513 |
500 |
$33K |
| 92201 |
|
751 |
729 |
$6K |
| 92225 |
|
603 |
587 |
$6K |
| 92202 |
|
171 |
168 |
$832.74 |
| 92250 |
|
12 |
12 |
$367.70 |