| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
889 |
656 |
$287K |
| J9035 |
Injection, bevacizumab, 10 mg |
783 |
557 |
$57K |
| J0178 |
Injection, aflibercept, 1 mg |
34 |
23 |
$54K |
| 92225 |
|
1,205 |
670 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
735 |
734 |
$43K |
| 92134 |
|
1,311 |
955 |
$39K |
| 92133 |
|
976 |
555 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
601 |
576 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
509 |
500 |
$18K |
| 92250 |
|
494 |
492 |
$18K |
| 92082 |
|
501 |
492 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
229 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
13 |
$12K |
| 92020 |
|
351 |
337 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
57 |
57 |
$2K |
| 76514 |
|
207 |
204 |
$2K |
| 92202 |
|
69 |
36 |
$916.74 |
| 92136 |
|
12 |
12 |
$783.14 |