| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
870 |
698 |
$769K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,815 |
2,137 |
$464K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,506 |
1,105 |
$83K |
| 92134 |
|
3,415 |
3,021 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,284 |
1,163 |
$32K |
| 92250 |
|
314 |
282 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
188 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
67 |
$3K |
| 92225 |
|
32 |
24 |
$683.69 |
| 92226 |
|
18 |
13 |
$285.70 |
| 83861 |
|
27 |
27 |
$44.96 |