| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,127 |
1,420 |
$121K |
| J0178 |
Injection, aflibercept, 1 mg |
53 |
42 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,767 |
1,341 |
$34K |
| 92134 |
|
3,391 |
2,499 |
$27K |
| 92015 |
Determination of refractive state |
3,464 |
3,095 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
578 |
439 |
$18K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
49 |
12 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
174 |
156 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
237 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
70 |
38 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
30 |
$655.50 |