| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
927 |
798 |
$210K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,608 |
2,287 |
$142K |
| 92134 |
|
2,075 |
2,030 |
$43K |
| 92235 |
|
532 |
513 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
476 |
469 |
$13K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
202 |
180 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
678 |
582 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
171 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$171.60 |
| C9257 |
Injection, bevacizumab, 0.25 mg |
28 |
25 |
$0.00 |