| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
886 |
772 |
$991K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,078 |
1,765 |
$62K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
906 |
794 |
$37K |
| 92134 |
|
2,513 |
2,234 |
$30K |
| 92250 |
|
1,268 |
1,214 |
$20K |
| J9035 |
Injection, bevacizumab, 10 mg |
372 |
267 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
519 |
502 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
287 |
$12K |
| 92242 |
|
100 |
100 |
$9K |
| 92225 |
|
254 |
130 |
$2K |
| 92235 |
|
60 |
58 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
51 |
$927.85 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
12 |
$361.55 |