| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,832 |
1,740 |
$119K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
431 |
420 |
$42K |
| 92134 |
|
1,685 |
1,637 |
$40K |
| J0178 |
Injection, aflibercept, 1 mg |
24 |
24 |
$30K |
| 92235 |
|
621 |
602 |
$22K |
| J9035 |
Injection, bevacizumab, 10 mg |
601 |
579 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
301 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$416.73 |
| C9257 |
Injection, bevacizumab, 0.25 mg |
24 |
24 |
$0.00 |