| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,476 |
1,309 |
$449K |
| J0178 |
Injection, aflibercept, 1 mg |
104 |
94 |
$220K |
| 92134 |
|
2,312 |
2,183 |
$85K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,660 |
1,589 |
$71K |
| 92250 |
|
1,069 |
1,002 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
597 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
296 |
296 |
$13K |
| J9035 |
Injection, bevacizumab, 10 mg |
265 |
220 |
$12K |