| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,423 |
1,035 |
$3.36M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,617 |
2,027 |
$1.08M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,840 |
2,741 |
$136K |
| 92134 |
|
2,588 |
2,528 |
$105K |
| 92250 |
|
668 |
643 |
$36K |
| J9035 |
Injection, bevacizumab, 10 mg |
232 |
199 |
$10K |
| 92235 |
|
47 |
41 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
90 |
85 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
36 |
$2K |