| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,518 |
4,748 |
$1.71M |
| J0178 |
Injection, aflibercept, 1 mg |
460 |
450 |
$666K |
| 92134 |
|
9,333 |
8,560 |
$245K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
133 |
111 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,539 |
1,226 |
$75K |
| 92250 |
|
1,953 |
1,746 |
$65K |
| 92235 |
|
798 |
693 |
$49K |
| J9035 |
Injection, bevacizumab, 10 mg |
513 |
307 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
966 |
951 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
370 |
$10K |
| 92226 |
|
42 |
30 |
$4K |
| 92225 |
|
26 |
12 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$782.22 |
| J7999 |
Compounded drug, not otherwise classified |
12 |
12 |
$243.57 |