| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
847 |
739 |
$554K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,992 |
2,959 |
$179K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,019 |
1,709 |
$102K |
| 92134 |
|
3,467 |
3,411 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
468 |
468 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
841 |
$40K |
| 92235 |
|
571 |
567 |
$38K |
| J9035 |
Injection, bevacizumab, 10 mg |
364 |
305 |
$13K |
| 92250 |
|
42 |
42 |
$1K |
| 92201 |
|
79 |
70 |
$801.29 |
| 92227 |
|
12 |
12 |
$244.08 |