| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,042 |
2,242 |
$657K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,152 |
1,591 |
$125K |
| J0178 |
Injection, aflibercept, 1 mg |
60 |
49 |
$80K |
| 92134 |
|
3,204 |
2,707 |
$63K |
| 92250 |
|
1,004 |
878 |
$34K |
| 67210 |
|
66 |
56 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
773 |
679 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
177 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
239 |
202 |
$9K |
| 92235 |
|
64 |
54 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 92133 |
|
15 |
15 |
$216.02 |