| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
1,223 |
1,195 |
$28K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
361 |
350 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
274 |
268 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
24 |
$697.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$239.44 |
| J0178 |
Injection, aflibercept, 1 mg |
12 |
12 |
$0.00 |