| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,028 |
958 |
$54K |
| 67228 |
|
220 |
193 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,208 |
1,188 |
$42K |
| J0178 |
Injection, aflibercept, 1 mg |
60 |
52 |
$23K |
| J9035 |
Injection, bevacizumab, 10 mg |
917 |
836 |
$21K |
| 92134 |
|
1,362 |
1,344 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
608 |
590 |
$12K |
| 92250 |
|
537 |
524 |
$10K |
| 92235 |
|
137 |
135 |
$6K |
| 92020 |
|
254 |
250 |
$3K |