| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
588 |
557 |
$396K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,047 |
7,446 |
$338K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,210 |
2,757 |
$168K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,788 |
2,770 |
$163K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
617 |
498 |
$136K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,241 |
1,239 |
$110K |
| 92134 |
|
5,725 |
5,539 |
$96K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,342 |
1,136 |
$80K |
| 92083 |
|
2,368 |
1,479 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
887 |
835 |
$34K |
| 67228 |
|
170 |
122 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
347 |
$18K |
| 92133 |
|
1,037 |
1,027 |
$18K |
| 92136 |
|
871 |
453 |
$14K |
| 92226 |
|
666 |
447 |
$7K |
| 92250 |
|
452 |
290 |
$7K |
| 92235 |
|
139 |
136 |
$6K |
| 92015 |
Determination of refractive state |
457 |
448 |
$5K |
| 92025 |
|
218 |
218 |
$4K |
| 92225 |
|
153 |
91 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$853.87 |
| 92202 |
|
79 |
79 |
$678.82 |
| J7999 |
Compounded drug, not otherwise classified |
85 |
81 |
$180.42 |
| 76514 |
|
52 |
52 |
$180.01 |