| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
131 |
54 |
$90K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
565 |
430 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
641 |
405 |
$20K |
| J9035 |
Injection, bevacizumab, 10 mg |
441 |
195 |
$17K |
| 92134 |
|
858 |
643 |
$10K |
| 92202 |
|
629 |
485 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
58 |
$957.99 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$680.00 |