| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,381 |
1,353 |
$123K |
| J7999 |
Compounded drug, not otherwise classified |
1,057 |
1,037 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
846 |
805 |
$47K |
| 92134 |
|
1,717 |
1,604 |
$41K |
| J0178 |
Injection, aflibercept, 1 mg |
62 |
62 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
203 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
104 |
104 |
$8K |
| 92250 |
|
255 |
253 |
$8K |
| 92235 |
|
65 |
65 |
$2K |
| 76512 |
|
47 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 92201 |
|
27 |
27 |
$440.15 |