| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,073 |
972 |
$74K |
| 92134 |
|
1,292 |
1,256 |
$31K |
| J0178 |
Injection, aflibercept, 1 mg |
112 |
102 |
$25K |
| 92235 |
|
149 |
146 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
304 |
287 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
126 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$442.79 |