| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,350 |
2,952 |
$580K |
| J0178 |
Injection, aflibercept, 1 mg |
380 |
244 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,234 |
3,415 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,943 |
4,108 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,809 |
1,471 |
$129K |
| 92134 |
|
6,539 |
5,017 |
$94K |
| 92060 |
|
1,980 |
1,559 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,107 |
936 |
$62K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
93 |
54 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,738 |
2,195 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
759 |
727 |
$21K |
| 92136 |
|
465 |
344 |
$14K |
| 92250 |
|
237 |
179 |
$9K |
| J9035 |
Injection, bevacizumab, 10 mg |
74 |
52 |
$8K |
| 92235 |
|
189 |
142 |
$7K |
| 92015 |
Determination of refractive state |
2,409 |
1,900 |
$5K |
| 92285 |
|
359 |
266 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
296 |
271 |
$5K |
| 92133 |
|
197 |
149 |
$4K |
| 92083 |
|
93 |
73 |
$4K |
| 92226 |
|
322 |
198 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$884.47 |