| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
348 |
340 |
$228K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,142 |
4,697 |
$186K |
| 92134 |
|
6,080 |
5,560 |
$82K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,346 |
2,228 |
$51K |
| J9035 |
Injection, bevacizumab, 10 mg |
259 |
250 |
$5K |
| 92201 |
|
214 |
192 |
$2K |
| 92250 |
|
66 |
61 |
$2K |
| 92202 |
|
307 |
287 |
$2K |
| 92226 |
|
1,587 |
1,091 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$3.20 |
| J7999 |
Compounded drug, not otherwise classified |
15 |
14 |
$0.00 |