| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
204 |
195 |
$289K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
468 |
391 |
$69K |
| 92134 |
|
1,166 |
1,002 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
135 |
117 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
87 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
173 |
164 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
103 |
94 |
$3K |