| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
510 |
476 |
$337K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,790 |
1,657 |
$91K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
78 |
73 |
$50K |
| 92134 |
|
3,588 |
3,488 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,920 |
1,865 |
$38K |
| J9035 |
Injection, bevacizumab, 10 mg |
565 |
511 |
$14K |
| 92235 |
|
242 |
242 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
271 |
265 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
200 |
197 |
$7K |
| 92201 |
|
523 |
520 |
$3K |
| 92226 |
|
456 |
418 |
$3K |
| 92202 |
|
343 |
334 |
$1K |
| 92250 |
|
16 |
15 |
$260.65 |
| 92225 |
|
18 |
14 |
$165.39 |