| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
5,593 |
3,944 |
$3.31M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,159 |
5,654 |
$420K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,913 |
6,321 |
$346K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,133 |
5,685 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,154 |
5,293 |
$253K |
| 92134 |
|
8,117 |
6,596 |
$110K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
486 |
261 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,587 |
1,307 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,242 |
3,050 |
$44K |
| 92235 |
|
894 |
778 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
222 |
201 |
$16K |
| 92015 |
Determination of refractive state |
9,618 |
8,907 |
$10K |
| J9035 |
Injection, bevacizumab, 10 mg |
415 |
321 |
$9K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
24 |
12 |
$9K |
| 92250 |
|
584 |
500 |
$8K |
| 92083 |
|
247 |
223 |
$6K |
| 92133 |
|
383 |
344 |
$6K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
152 |
84 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
74 |
$3K |
| 92136 |
|
154 |
76 |
$2K |
| 92020 |
|
15 |
12 |
$134.20 |
| V2020 |
Frames, purchases |
30 |
30 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
60 |
30 |
$0.00 |