| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
144 |
131 |
$83K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,092 |
970 |
$63K |
| 92134 |
|
3,740 |
3,150 |
$59K |
| 76512 |
|
1,196 |
901 |
$45K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,072 |
981 |
$27K |
| 67228 |
|
31 |
25 |
$9K |
| 92020 |
|
702 |
674 |
$6K |
| J9035 |
Injection, bevacizumab, 10 mg |
163 |
154 |
$6K |
| 92226 |
|
591 |
489 |
$5K |
| 92201 |
|
597 |
531 |
$4K |
| 92202 |
|
1,229 |
1,024 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
68 |
$2K |
| 92250 |
|
65 |
64 |
$1K |
| 65800 |
|
52 |
50 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
28 |
$954.80 |