| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,397 |
1,186 |
$589K |
| 67210 |
|
3,315 |
2,939 |
$319K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,619 |
3,244 |
$136K |
| 92235 |
|
3,028 |
2,974 |
$79K |
| 92134 |
|
5,588 |
5,302 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,140 |
2,024 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,439 |
1,414 |
$36K |
| 92250 |
|
1,919 |
1,799 |
$26K |
| J9035 |
Injection, bevacizumab, 10 mg |
952 |
816 |
$20K |
| 92226 |
|
163 |
95 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$303.76 |