| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,266 |
4,274 |
$462K |
| 92134 |
|
12,048 |
9,688 |
$298K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,860 |
1,494 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
859 |
697 |
$36K |
| J0178 |
Injection, aflibercept, 1 mg |
54 |
41 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
52 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
28 |
$1K |
| 99215 |
Prolong outpt/office vis |
49 |
24 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
80 |
53 |
$94.83 |
| J7999 |
Compounded drug, not otherwise classified |
15 |
12 |
$37.00 |