| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
433 |
342 |
$252K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,568 |
3,568 |
$212K |
| 92134 |
|
8,281 |
6,515 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,107 |
1,639 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
492 |
407 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
659 |
474 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
304 |
$22K |
| J7999 |
Compounded drug, not otherwise classified |
226 |
208 |
$15K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
18 |
12 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
52 |
37 |
$2K |
| 92133 |
|
69 |
63 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$709.85 |
| 92025 |
|
36 |
26 |
$507.93 |