| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
365 |
358 |
$358K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,188 |
4,057 |
$188K |
| 92134 |
|
6,683 |
6,450 |
$121K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,493 |
1,462 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,442 |
1,426 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
212 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
94 |
$7K |
| 92250 |
|
153 |
153 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$941.25 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$410.96 |
| 92201 |
|
26 |
26 |
$348.42 |