| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,675 |
1,315 |
$1.31M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,883 |
3,941 |
$203K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,959 |
5,869 |
$149K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,550 |
1,084 |
$123K |
| 92250 |
|
12,320 |
6,566 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,869 |
6,580 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,707 |
1,428 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,281 |
4,390 |
$64K |
| 92134 |
|
14,434 |
7,406 |
$56K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,492 |
1,221 |
$52K |
| 92235 |
|
3,034 |
1,618 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,654 |
1,337 |
$31K |
| 92136 |
|
3,063 |
1,718 |
$18K |
| 92083 |
|
1,279 |
695 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,181 |
931 |
$9K |
| 92133 |
|
1,847 |
995 |
$8K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
56 |
41 |
$7K |
| 92015 |
Determination of refractive state |
2,654 |
2,194 |
$7K |
| 76512 |
|
128 |
67 |
$2K |
| 00142 |
|
769 |
667 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
48 |
$2K |
| 92025 |
|
191 |
110 |
$864.85 |
| 92225 |
|
14 |
13 |
$131.84 |
| 92020 |
|
32 |
26 |
$80.85 |
| 99024 |
|
241 |
161 |
$0.00 |