| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
376 |
244 |
$485K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
442 |
301 |
$156K |
| 92134 |
|
625 |
566 |
$14K |
| 92201 |
|
729 |
627 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
141 |
140 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
84 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19 |
15 |
$0.00 |
| 1036F |
|
24 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
23 |
13 |
$0.00 |