| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,047 |
689 |
$708K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,817 |
3,586 |
$211K |
| 92134 |
|
5,945 |
4,468 |
$89K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,401 |
2,549 |
$61K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,697 |
1,087 |
$49K |
| 92250 |
|
1,023 |
925 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
223 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
144 |
131 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$198.09 |