| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,912 |
1,011 |
$623K |
| 92015 |
Determination of refractive state |
9,807 |
7,628 |
$189K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,033 |
8,357 |
$158K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,315 |
3,486 |
$58K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,072 |
1,491 |
$50K |
| 92134 |
|
5,503 |
4,529 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,515 |
2,024 |
$30K |
| 92133 |
|
2,257 |
1,924 |
$20K |
| 92083 |
|
1,210 |
1,050 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
375 |
340 |
$17K |
| 92002 |
|
568 |
505 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
65 |
$2K |
| 92250 |
|
121 |
97 |
$941.26 |
| 92136 |
|
40 |
37 |
$862.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
59 |
$578.41 |
| 92081 |
|
15 |
13 |
$171.01 |
| 92020 |
|
30 |
29 |
$158.30 |