| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
253 |
225 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,330 |
1,278 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
964 |
948 |
$79K |
| 92250 |
|
2,150 |
2,134 |
$71K |
| 92134 |
|
2,819 |
2,719 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
655 |
651 |
$62K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
493 |
452 |
$37K |
| 92226 |
|
992 |
754 |
$29K |
| 92202 |
|
863 |
822 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
99 |
99 |
$5K |
| 76512 |
|
61 |
50 |
$2K |
| 92235 |
|
12 |
12 |
$1K |
| 92225 |
|
17 |
12 |
$346.76 |