| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
261 |
252 |
$358K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,240 |
2,091 |
$186K |
| 92134 |
|
2,842 |
2,666 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
73 |
70 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
38 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
24 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$0.00 |