| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
7,957 |
5,538 |
$5.54M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16,858 |
11,594 |
$834K |
| 92250 |
|
11,962 |
8,492 |
$152K |
| 92134 |
|
12,628 |
8,600 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,725 |
3,487 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
907 |
682 |
$32K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,216 |
765 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
484 |
324 |
$19K |
| 92235 |
|
615 |
430 |
$17K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
21 |
13 |
$13K |
| 67228 |
|
35 |
24 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,604 |
842 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$803.77 |