| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,222 |
2,520 |
$203K |
| J0178 |
Injection, aflibercept, 1 mg |
1,085 |
993 |
$175K |
| 92134 |
|
6,316 |
5,997 |
$141K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,751 |
4,531 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,312 |
2,198 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,650 |
1,570 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
663 |
644 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
961 |
956 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
801 |
765 |
$23K |
| J9035 |
Injection, bevacizumab, 10 mg |
953 |
876 |
$20K |
| 92133 |
|
696 |
674 |
$17K |
| 92015 |
Determination of refractive state |
2,266 |
2,247 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
398 |
388 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
195 |
191 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$5K |
| 92020 |
|
219 |
216 |
$3K |
| 92025 |
|
91 |
90 |
$2K |
| 76514 |
|
28 |
24 |
$169.98 |
| J7999 |
Compounded drug, not otherwise classified |
56 |
51 |
$0.00 |