| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,402 |
3,280 |
$4.05M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,485 |
8,076 |
$359K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,010 |
4,779 |
$270K |
| 92134 |
|
13,781 |
13,153 |
$220K |
| J3590 |
Unclassified biologics |
2,415 |
2,321 |
$186K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,204 |
1,168 |
$91K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,456 |
1,425 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,548 |
1,484 |
$85K |
| 92250 |
|
3,935 |
3,756 |
$77K |
| 92235 |
|
893 |
882 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
299 |
296 |
$23K |
| 67228 |
|
72 |
62 |
$12K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$668.13 |
| 76512 |
|
25 |
25 |
$634.80 |
| 99072 |
|
22 |
21 |
$0.00 |