| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16,426 |
12,022 |
$748K |
| J0178 |
Injection, aflibercept, 1 mg |
577 |
337 |
$582K |
| J9035 |
Injection, bevacizumab, 10 mg |
14,091 |
8,593 |
$317K |
| 92134 |
|
20,625 |
16,221 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
880 |
694 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
915 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
712 |
546 |
$20K |
| 92202 |
|
499 |
398 |
$2K |
| 92250 |
|
163 |
121 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
38 |
$2K |
| 92235 |
|
43 |
31 |
$891.93 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
26 |
$734.25 |