| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,923 |
3,484 |
$168K |
| J0178 |
Injection, aflibercept, 1 mg |
139 |
114 |
$84K |
| 92134 |
|
8,054 |
7,427 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,694 |
1,554 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
774 |
732 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
344 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
602 |
543 |
$5K |
| J9035 |
Injection, bevacizumab, 10 mg |
113 |
108 |
$4K |
| J3590 |
Unclassified biologics |
33 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |