| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
782 |
643 |
$416K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,855 |
1,703 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,419 |
1,403 |
$50K |
| 92235 |
|
1,079 |
1,059 |
$37K |
| 92250 |
|
1,483 |
1,471 |
$29K |
| 92134 |
|
1,862 |
1,747 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
76 |
$2K |
| 92226 |
|
129 |
106 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$530.42 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
12 |
$509.91 |