| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
525 |
426 |
$600K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,234 |
1,707 |
$379K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
288 |
270 |
$257K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,255 |
872 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,036 |
1,914 |
$56K |
| 92134 |
|
2,672 |
2,467 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
915 |
831 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
390 |
$14K |
| 66821 |
|
33 |
33 |
$6K |
| 92133 |
|
63 |
60 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$662.67 |
| 92136 |
|
12 |
12 |
$272.44 |
| 92202 |
|
40 |
40 |
$70.88 |