| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,877 |
2,632 |
$399K |
| J0178 |
Injection, aflibercept, 1 mg |
375 |
347 |
$380K |
| 92134 |
|
3,835 |
3,751 |
$63K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,380 |
1,330 |
$35K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
74 |
70 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
244 |
211 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
445 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
237 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
64 |
$700.00 |
| 92250 |
|
15 |
15 |
$625.65 |