| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
97 |
75 |
$98K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
519 |
412 |
$82K |
| 92134 |
|
1,194 |
1,038 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
573 |
512 |
$21K |
| J9035 |
Injection, bevacizumab, 10 mg |
172 |
112 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
112 |
$6K |
| 92202 |
|
451 |
401 |
$3K |
| 92250 |
|
25 |
25 |
$814.46 |
| 1036F |
|
211 |
192 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
35 |
29 |
$0.00 |
| 2022F |
|
49 |
42 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
154 |
138 |
$0.00 |
| 5010F |
|
35 |
29 |
$0.00 |
| 4040F |
|
126 |
111 |
$0.00 |
| 2021F |
|
35 |
29 |
$0.00 |