| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,846 |
1,376 |
$4.42M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,936 |
2,278 |
$1.16M |
| 92134 |
|
3,221 |
3,119 |
$139K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,620 |
2,544 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
269 |
$18K |
| 92250 |
|
188 |
186 |
$11K |
| J9035 |
Injection, bevacizumab, 10 mg |
275 |
226 |
$8K |
| 92235 |
|
12 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$570.60 |