| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,712 |
3,558 |
$266K |
| J0178 |
Injection, aflibercept, 1 mg |
155 |
121 |
$231K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,514 |
2,548 |
$148K |
| 92134 |
|
4,501 |
4,257 |
$106K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,014 |
962 |
$71K |
| 92235 |
|
28 |
27 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
27 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$1K |
| 92250 |
|
25 |
25 |
$483.15 |
| 92202 |
|
19 |
12 |
$168.73 |