| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,214 |
1,019 |
$798K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,131 |
1,752 |
$116K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,492 |
1,408 |
$48K |
| 92250 |
|
1,671 |
1,604 |
$35K |
| 92134 |
|
1,542 |
1,468 |
$23K |
| J9035 |
Injection, bevacizumab, 10 mg |
264 |
217 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
212 |
206 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
174 |
$11K |
| 92226 |
|
864 |
661 |
$7K |
| 92235 |
|
44 |
44 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$114.71 |
| 92201 |
|
12 |
12 |
$37.07 |