| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
589 |
340 |
$459K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,805 |
1,624 |
$145K |
| 92134 |
|
3,288 |
2,956 |
$72K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
115 |
80 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
302 |
285 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
366 |
336 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
95 |
37 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$1K |
| 92002 |
|
15 |
14 |
$616.70 |
| 92250 |
|
12 |
12 |
$487.15 |
| 90785 |
|
23 |
12 |
$86.25 |