| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
8,070 |
6,438 |
$6.28M |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
668 |
494 |
$850K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
15,128 |
12,341 |
$650K |
| 92134 |
|
25,977 |
21,373 |
$271K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,100 |
6,600 |
$131K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,526 |
2,692 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,710 |
1,418 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
622 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
153 |
137 |
$17K |
| 92225 |
|
668 |
308 |
$5K |
| 92250 |
|
254 |
221 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
64 |
$3K |
| 92226 |
|
441 |
199 |
$3K |
| 92201 |
|
192 |
174 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
86 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$99.82 |
| 92202 |
|
18 |
12 |
$79.52 |
| 99024 |
|
411 |
396 |
$0.00 |