| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
741 |
585 |
$582K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
434 |
334 |
$21K |
| 92250 |
|
415 |
257 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
489 |
$13K |
| 92134 |
|
588 |
463 |
$9K |
| 92235 |
|
68 |
41 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$800.72 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
13 |
13 |
$0.00 |
| 2021F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
111 |
108 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 5010F |
|
13 |
13 |
$0.00 |