| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,895 |
2,465 |
$489K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,778 |
1,699 |
$84K |
| 92134 |
|
4,595 |
4,400 |
$60K |
| J2781 |
Injection, pegcetacoplan, intravitreal, 1 mg |
87 |
87 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,057 |
2,016 |
$46K |
| J0178 |
Injection, aflibercept, 1 mg |
74 |
74 |
$32K |
| 92250 |
|
553 |
548 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
165 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
443 |
440 |
$3K |
| 92235 |
|
31 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
53 |
$351.56 |
| 92202 |
|
120 |
120 |
$0.36 |