| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,369 |
1,983 |
$82K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,046 |
2,003 |
$64K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,735 |
1,463 |
$59K |
| 92134 |
|
2,859 |
2,828 |
$48K |
| J0178 |
Injection, aflibercept, 1 mg |
57 |
35 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
184 |
184 |
$16K |
| 92202 |
|
2,033 |
2,004 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
141 |
140 |
$5K |
| 67228 |
|
31 |
12 |
$4K |