| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
852 |
728 |
$752K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,846 |
1,571 |
$240K |
| 92134 |
|
4,264 |
3,813 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,060 |
1,914 |
$57K |
| 92226 |
|
934 |
536 |
$15K |
| 92202 |
|
808 |
732 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
39 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
28 |
27 |
$936.61 |
| 92201 |
|
56 |
49 |
$568.31 |
| 92225 |
|
23 |
12 |
$466.91 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$186.45 |