| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
882 |
551 |
$762K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,525 |
2,142 |
$104K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,340 |
854 |
$75K |
| 92134 |
|
6,691 |
3,992 |
$67K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
18 |
13 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
55 |
$6K |
| 92250 |
|
35 |
25 |
$352.28 |
| J9035 |
Injection, bevacizumab, 10 mg |
28 |
14 |
$312.62 |
| 92201 |
|
19 |
12 |
$19.16 |