| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,481 |
1,160 |
$1.74M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,740 |
3,444 |
$886K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,969 |
4,197 |
$241K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,712 |
1,973 |
$160K |
| 92134 |
|
7,380 |
6,216 |
$152K |
| 92226 |
|
1,606 |
621 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,096 |
1,818 |
$39K |
| 92201 |
|
2,177 |
1,578 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
375 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
393 |
215 |
$13K |
| 92225 |
|
159 |
85 |
$6K |
| 92250 |
|
55 |
51 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
21 |
15 |
$1K |
| 92202 |
|
81 |
65 |
$691.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$537.99 |