| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,174 |
906 |
$1.03M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,389 |
1,827 |
$384K |
| 92134 |
|
2,955 |
2,696 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,555 |
1,424 |
$35K |
| 92250 |
|
741 |
660 |
$27K |
| J9035 |
Injection, bevacizumab, 10 mg |
465 |
325 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
802 |
772 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
27 |
$666.63 |
| 92225 |
|
18 |
12 |
$600.86 |
| 92235 |
|
13 |
13 |
$527.00 |
| 92226 |
|
26 |
15 |
$403.80 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
30 |
$345.60 |
| 83861 |
|
13 |
13 |
$129.60 |