| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
19,024 |
15,580 |
$354K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,903 |
2,722 |
$347K |
| J0178 |
Injection, aflibercept, 1 mg |
2,267 |
2,087 |
$320K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,775 |
9,773 |
$124K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,337 |
10,294 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16,384 |
15,690 |
$64K |
| 92134 |
|
25,594 |
24,618 |
$56K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
266 |
245 |
$47K |
| J9035 |
Injection, bevacizumab, 10 mg |
6,144 |
5,174 |
$43K |
| 92015 |
Determination of refractive state |
15,921 |
15,897 |
$42K |
| V2020 |
Frames, purchases |
5,322 |
5,315 |
$23K |
| 92136 |
|
2,947 |
2,879 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,770 |
4,392 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,302 |
5,294 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,955 |
1,934 |
$16K |
| 67228 |
|
727 |
613 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
907 |
900 |
$12K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,127 |
1,121 |
$10K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
411 |
314 |
$9K |
| 67210 |
|
379 |
317 |
$7K |
| 92235 |
|
617 |
610 |
$5K |
| 92250 |
|
1,272 |
1,253 |
$4K |
| 99243 |
|
370 |
369 |
$4K |
| 92083 |
|
1,213 |
1,198 |
$3K |
| 92133 |
|
526 |
525 |
$2K |
| 92341 |
|
173 |
173 |
$711.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$540.85 |
| 76512 |
|
73 |
70 |
$505.12 |
| 76514 |
|
127 |
127 |
$186.16 |
| J7999 |
Compounded drug, not otherwise classified |
112 |
106 |
$150.40 |
| 99242 |
|
12 |
12 |
$47.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
164 |
161 |
$0.00 |
| 92020 |
|
13 |
13 |
$0.00 |
| 92285 |
|
68 |
68 |
$0.00 |
| 92002 |
|
12 |
12 |
$0.00 |