| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
683 |
639 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
565 |
559 |
$29K |
| 92250 |
|
742 |
731 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
569 |
$17K |
| J0178 |
Injection, aflibercept, 1 mg |
43 |
38 |
$14K |
| 92134 |
|
741 |
726 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
139 |
121 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
44 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$458.09 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$233.62 |
| 92015 |
Determination of refractive state |
112 |
112 |
$18.82 |