| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
234 |
148 |
$308K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
583 |
405 |
$51K |
| 92250 |
|
837 |
593 |
$30K |
| J0178 |
Injection, aflibercept, 1 mg |
16 |
14 |
$21K |
| 92134 |
|
880 |
640 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
231 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
98 |
82 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
16 |
$518.14 |