| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,318 |
7,671 |
$536K |
| J0178 |
Injection, aflibercept, 1 mg |
295 |
260 |
$398K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,929 |
5,628 |
$264K |
| 92134 |
|
14,881 |
13,784 |
$155K |
| J3590 |
Unclassified biologics |
431 |
369 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
300 |
$9K |
| J9035 |
Injection, bevacizumab, 10 mg |
101 |
63 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$746.60 |