| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
421 |
230 |
$200K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,497 |
1,326 |
$91K |
| 92015 |
Determination of refractive state |
2,795 |
2,273 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,203 |
2,616 |
$83K |
| 92134 |
|
1,408 |
1,087 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
300 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
286 |
244 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
247 |
185 |
$5K |
| 92202 |
|
1,060 |
839 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
106 |
$4K |
| 92250 |
|
104 |
87 |
$3K |
| 92226 |
|
433 |
285 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 92133 |
|
61 |
53 |
$912.00 |
| 92083 |
|
31 |
26 |
$812.85 |
| 1036F |
|
327 |
312 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
345 |
330 |
$0.00 |
| 2022F |
|
83 |
82 |
$0.00 |