| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
63,561 |
59,754 |
$6.80M |
| J0178 |
Injection, aflibercept, 1 mg |
10,788 |
10,386 |
$5.41M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66,728 |
64,703 |
$2.91M |
| 92134 |
|
121,247 |
115,255 |
$1.76M |
| J9035 |
Injection, bevacizumab, 10 mg |
31,518 |
29,577 |
$1.69M |
| Q5128 |
Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg |
4,699 |
4,551 |
$1.59M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34,024 |
32,510 |
$1.47M |
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,697 |
1,643 |
$634K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
872 |
847 |
$448K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,924 |
6,920 |
$289K |
| 92202 |
|
21,525 |
21,163 |
$161K |
| 92235 |
|
5,410 |
5,072 |
$161K |
| 92226 |
|
10,508 |
6,007 |
$139K |
| J3490 |
Unclassified drugs |
286 |
264 |
$128K |
| 92250 |
|
6,581 |
6,530 |
$91K |
| J7999 |
Compounded drug, not otherwise classified |
2,776 |
2,645 |
$76K |
| 76512 |
|
2,524 |
2,067 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,034 |
2,032 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,612 |
1,564 |
$54K |
| 92225 |
|
2,161 |
1,192 |
$26K |
| J2781 |
Injection, pegcetacoplan, intravitreal, 1 mg |
43 |
42 |
$20K |
| 92201 |
|
2,340 |
2,333 |
$19K |
| 67228 |
|
95 |
91 |
$14K |
| J0177 |
Injection, aflibercept hd, 1 mg |
14 |
14 |
$8K |
| 99024 |
|
1,402 |
1,174 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
124 |
$3K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
24 |
12 |
$584.08 |
| 76510 |
|
14 |
13 |
$384.10 |