| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
338 |
283 |
$153K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,663 |
2,216 |
$144K |
| 92134 |
|
3,374 |
3,051 |
$78K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
112 |
108 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
296 |
$13K |
| J9035 |
Injection, bevacizumab, 10 mg |
280 |
251 |
$11K |
| 92235 |
|
89 |
82 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
74 |
50 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$764.83 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$472.80 |
| 92133 |
|
12 |
12 |
$270.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$131.80 |