| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
413 |
221 |
$178K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,196 |
5,044 |
$137K |
| 92134 |
|
6,710 |
5,519 |
$54K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,640 |
1,080 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
292 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
64 |
$2K |
| 92235 |
|
27 |
25 |
$832.13 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$469.07 |
| 92250 |
|
46 |
40 |
$411.41 |
| J3590 |
Unclassified biologics |
2,023 |
1,309 |
$390.00 |