| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,359 |
1,155 |
$210K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,284 |
1,104 |
$90K |
| J0178 |
Injection, aflibercept, 1 mg |
35 |
28 |
$52K |
| 92134 |
|
1,785 |
1,597 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
469 |
420 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
623 |
$14K |
| 92250 |
|
259 |
237 |
$8K |
| 67228 |
|
15 |
12 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |