| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
8,598 |
6,612 |
$917K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,590 |
4,088 |
$212K |
| J0178 |
Injection, aflibercept, 1 mg |
847 |
510 |
$189K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,724 |
4,812 |
$188K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
2,841 |
1,737 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,440 |
1,125 |
$162K |
| 92250 |
|
1,786 |
1,368 |
$104K |
| 92235 |
|
3,182 |
2,409 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,426 |
1,930 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
174 |
146 |
$22K |
| 92202 |
|
1,808 |
1,538 |
$18K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
344 |
243 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$2K |
| 92201 |
|
124 |
58 |
$957.53 |