| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
743 |
617 |
$669K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,391 |
1,171 |
$169K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,440 |
1,368 |
$41K |
| 92134 |
|
3,170 |
2,900 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
46 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
12 |
$686.45 |
| 92202 |
|
73 |
66 |
$331.40 |