| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,756 |
2,596 |
$4.15M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,052 |
3,137 |
$1.13M |
| 92134 |
|
4,109 |
3,888 |
$121K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
26 |
24 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
610 |
603 |
$25K |
| 92226 |
|
260 |
195 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$1K |
| 92225 |
|
14 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20 |
20 |
$784.05 |