| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
147 |
98 |
$88K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
372 |
285 |
$41K |
| 92134 |
|
969 |
840 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
511 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
302 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
453 |
416 |
$15K |
| 92133 |
|
222 |
211 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
22 |
12 |
$3K |
| 92015 |
Determination of refractive state |
124 |
124 |
$3K |
| 92083 |
|
86 |
85 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 92136 |
|
49 |
42 |
$820.51 |
| 92201 |
|
60 |
28 |
$746.66 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$706.68 |
| 92285 |
|
12 |
12 |
$168.10 |