| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,545 |
1,267 |
$1.25M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,505 |
3,720 |
$1.12M |
| 92134 |
|
8,961 |
7,878 |
$588K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,354 |
1,160 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
895 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
629 |
599 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,009 |
852 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
406 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
157 |
$17K |
| 76512 |
|
30 |
28 |
$2K |
| 92201 |
|
98 |
97 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$935.70 |
| 92202 |
|
102 |
101 |
$720.46 |