| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,342 |
995 |
$244K |
| J0178 |
Injection, aflibercept, 1 mg |
198 |
140 |
$220K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,036 |
1,829 |
$68K |
| 92134 |
|
3,831 |
3,310 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
545 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
194 |
150 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
367 |
$10K |
| 92235 |
|
38 |
37 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$1K |
| 92250 |
|
52 |
47 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
27 |
$971.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$404.37 |