| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
454 |
367 |
$992K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,546 |
1,258 |
$649K |
| 92134 |
|
1,304 |
1,229 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
689 |
657 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
199 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
86 |
$5K |
| 92235 |
|
25 |
25 |
$3K |
| 92250 |
|
40 |
38 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
46 |
39 |
$2K |