| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
433 |
354 |
$238K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
683 |
627 |
$41K |
| 92134 |
|
2,019 |
1,893 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
349 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
163 |
156 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
250 |
$6K |