| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
15,254 |
12,226 |
$10.45M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
77,410 |
64,093 |
$2.65M |
| 92134 |
|
106,803 |
88,950 |
$1.73M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
37,853 |
30,312 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,081 |
15,228 |
$1.07M |
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,880 |
1,504 |
$482K |
| 92202 |
|
55,977 |
47,688 |
$469K |
| J0177 |
Injection, aflibercept hd, 1 mg |
485 |
474 |
$343K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,635 |
4,121 |
$317K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
295 |
270 |
$149K |
| J3590 |
Unclassified biologics |
202 |
191 |
$138K |
| 92201 |
|
7,474 |
6,386 |
$122K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,930 |
2,973 |
$115K |
| 92250 |
|
4,223 |
3,642 |
$101K |
| 92235 |
|
2,893 |
2,509 |
$83K |
| J7999 |
Compounded drug, not otherwise classified |
1,259 |
1,037 |
$78K |
| 92226 |
|
25,222 |
12,177 |
$60K |
| Q5128 |
Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg |
58 |
57 |
$22K |
| 67228 |
|
79 |
49 |
$12K |
| 92225 |
|
2,457 |
1,211 |
$12K |
| 76512 |
|
794 |
613 |
$9K |
| 92133 |
|
455 |
381 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
339 |
301 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
197 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
335 |
285 |
$2K |
| 92287 |
|
68 |
65 |
$2K |
| 92083 |
|
146 |
144 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$1K |
| 92015 |
Determination of refractive state |
143 |
117 |
$677.57 |
| 92020 |
|
14 |
14 |
$264.65 |
| 92136 |
|
27 |
26 |
$144.73 |
| 99426 |
|
208 |
208 |
$0.00 |
| 99427 |
|
42 |
42 |
$0.00 |