| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,430 |
836 |
$1.15M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
4,097 |
2,440 |
$660K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,379 |
4,093 |
$448K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,469 |
15,780 |
$428K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,965 |
5,640 |
$193K |
| 92136 |
|
5,263 |
2,358 |
$134K |
| 92134 |
|
8,022 |
6,317 |
$122K |
| 92015 |
Determination of refractive state |
15,079 |
11,375 |
$96K |
| 92133 |
|
6,225 |
4,804 |
$91K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,105 |
4,483 |
$80K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,916 |
1,790 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,796 |
1,416 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,541 |
1,198 |
$25K |
| 92083 |
|
540 |
407 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
123 |
$4K |
| 92002 |
|
135 |
118 |
$4K |
| 92202 |
|
31 |
25 |
$215.44 |