| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,424 |
547 |
$212K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,629 |
1,135 |
$27K |
| 92134 |
|
4,308 |
1,934 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,100 |
883 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,114 |
455 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,312 |
629 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
539 |
244 |
$4K |
| 92015 |
Determination of refractive state |
328 |
130 |
$4K |
| 92083 |
|
718 |
302 |
$3K |
| 92133 |
|
476 |
205 |
$2K |
| 92060 |
|
223 |
99 |
$1K |
| 92020 |
|
229 |
97 |
$401.68 |
| J9035 |
Injection, bevacizumab, 10 mg |
45 |
12 |
$384.28 |
| 92250 |
|
28 |
12 |
$179.46 |