| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
359 |
334 |
$140K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,733 |
1,603 |
$80K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
112 |
95 |
$37K |
| 92134 |
|
2,297 |
2,181 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
303 |
292 |
$9K |
| 92226 |
|
348 |
332 |
$3K |
| 92201 |
|
136 |
130 |
$912.41 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
13 |
$660.28 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
12 |
$251.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$163.03 |
| 92202 |
|
48 |
44 |
$126.39 |
| 4177F |
|
13 |
13 |
$0.00 |