| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,551 |
1,261 |
$17K |
| J0178 |
Injection, aflibercept, 1 mg |
148 |
99 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
206 |
160 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
304 |
230 |
$3K |
| 92134 |
|
3,139 |
2,387 |
$2K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
18 |
13 |
$2K |
| 92250 |
|
39 |
37 |
$433.92 |
| J7999 |
Compounded drug, not otherwise classified |
21 |
12 |
$0.00 |