| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
504 |
353 |
$515K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,259 |
897 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,285 |
936 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
685 |
577 |
$42K |
| 92015 |
Determination of refractive state |
2,502 |
1,992 |
$38K |
| 92134 |
|
3,075 |
2,087 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
698 |
505 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
42 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
55 |
38 |
$757.28 |
| 92060 |
|
15 |
14 |
$318.36 |
| 92133 |
|
23 |
12 |
$107.83 |