| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,469 |
2,245 |
$529K |
| J0178 |
Injection, aflibercept, 1 mg |
127 |
121 |
$133K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,049 |
1,912 |
$75K |
| 92134 |
|
3,635 |
3,218 |
$65K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
43 |
43 |
$44K |
| 92250 |
|
642 |
614 |
$17K |
| J9035 |
Injection, bevacizumab, 10 mg |
150 |
127 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
215 |
209 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
119 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
53 |
$904.82 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$352.32 |