| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
508 |
451 |
$241K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,121 |
1,062 |
$89K |
| 92015 |
Determination of refractive state |
2,642 |
2,553 |
$35K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
930 |
831 |
$32K |
| 92134 |
|
1,793 |
1,594 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
276 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
71 |
$8K |
| 92083 |
|
28 |
25 |
$1K |