| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,912 |
2,502 |
$2.82M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
21,061 |
16,987 |
$1.01M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14,269 |
11,362 |
$741K |
| J9035 |
Injection, bevacizumab, 10 mg |
13,039 |
7,857 |
$526K |
| 92134 |
|
23,146 |
18,688 |
$431K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
974 |
761 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
226 |
209 |
$18K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
20 |
12 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
78 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
75 |
$4K |
| 0002A |
|
99 |
98 |
$2K |
| 92020 |
|
119 |
108 |
$2K |
| 0001A |
|
88 |
88 |
$1K |
| 76514 |
|
31 |
27 |
$134.27 |