| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,742 |
1,703 |
$2.34M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,599 |
7,973 |
$1.95M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,613 |
10,349 |
$531K |
| 92134 |
|
17,078 |
16,664 |
$418K |
| J9035 |
Injection, bevacizumab, 10 mg |
5,616 |
5,213 |
$338K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,292 |
1,288 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,500 |
1,471 |
$79K |
| 92235 |
|
418 |
416 |
$30K |
| 67228 |
|
102 |
95 |
$27K |
| 92250 |
|
367 |
365 |
$13K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$900.60 |
| 76512 |
|
13 |
12 |
$506.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$0.00 |