| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
925 |
684 |
$1.35M |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
672 |
548 |
$971K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
663 |
503 |
$721K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,208 |
4,172 |
$409K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,771 |
2,861 |
$305K |
| V2020 |
Frames, purchases |
9,391 |
8,712 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,056 |
3,017 |
$209K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,848 |
3,325 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,637 |
1,636 |
$200K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,140 |
5,411 |
$148K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,652 |
1,435 |
$125K |
| 92235 |
|
1,481 |
1,477 |
$122K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,277 |
2,520 |
$120K |
| 92134 |
|
3,486 |
3,070 |
$103K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,034 |
947 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
509 |
509 |
$46K |
| 92250 |
|
684 |
683 |
$29K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
719 |
374 |
$22K |
| 92015 |
Determination of refractive state |
8,443 |
8,355 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
187 |
$10K |
| 92133 |
|
321 |
320 |
$9K |
| 92083 |
|
179 |
179 |
$8K |
| 83861 |
|
135 |
133 |
$5K |
| 92136 |
|
160 |
115 |
$4K |
| 92285 |
|
376 |
322 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
22 |
20 |
$262.02 |
| 83516 |
|
15 |
15 |
$184.48 |