| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
4,787 |
2,731 |
$4.44M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,594 |
5,713 |
$2.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,925 |
12,731 |
$1.89M |
| 92134 |
|
12,856 |
11,555 |
$574K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,558 |
3,516 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,982 |
2,829 |
$250K |
| 92226 |
|
5,535 |
2,639 |
$213K |
| 76512 |
|
4,739 |
2,737 |
$209K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,752 |
2,113 |
$159K |
| 92225 |
|
2,439 |
1,215 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,191 |
1,186 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,557 |
1,551 |
$91K |
| 92201 |
|
4,009 |
3,781 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,087 |
1,084 |
$52K |
| 92015 |
Determination of refractive state |
4,938 |
4,887 |
$49K |
| 92202 |
|
2,702 |
2,541 |
$33K |
| 67210 |
|
53 |
44 |
$25K |
| 92133 |
|
817 |
765 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
236 |
225 |
$14K |
| V2020 |
Frames, purchases |
546 |
543 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
412 |
412 |
$9K |
| J7999 |
Compounded drug, not otherwise classified |
284 |
231 |
$7K |
| 67228 |
|
16 |
12 |
$5K |
| 92060 |
|
147 |
144 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$2K |
| 67515 |
|
20 |
17 |
$1K |
| 92083 |
|
13 |
13 |
$494.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
18 |
$88.05 |
| 92310 |
|
17 |
12 |
$0.00 |