| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,725 |
3,203 |
$4.01M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
11,743 |
10,069 |
$363K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,318 |
5,664 |
$240K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,855 |
4,105 |
$226K |
| 92134 |
|
14,264 |
12,583 |
$176K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,110 |
5,303 |
$151K |
| 92250 |
|
7,303 |
6,596 |
$106K |
| 92235 |
|
3,160 |
2,775 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
999 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
548 |
510 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
780 |
704 |
$29K |
| 92225 |
|
1,111 |
542 |
$10K |
| 92226 |
|
1,272 |
692 |
$8K |
| 92202 |
|
1,346 |
1,193 |
$5K |
| 67228 |
|
19 |
15 |
$3K |
| J7999 |
Compounded drug, not otherwise classified |
673 |
635 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
38 |
$952.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$718.08 |
| 92201 |
|
58 |
54 |
$550.55 |