| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
648 |
493 |
$494K |
| 92134 |
|
5,581 |
5,142 |
$84K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,371 |
1,155 |
$70K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,280 |
2,159 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
845 |
825 |
$28K |
| 92020 |
|
829 |
815 |
$9K |
| 92133 |
|
682 |
672 |
$9K |
| 92202 |
|
1,195 |
1,171 |
$5K |
| 92083 |
|
206 |
199 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
59 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
13 |
12 |
$992.68 |
| 92226 |
|
25 |
13 |
$438.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$364.00 |