| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,037 |
1,770 |
$1.35M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,314 |
7,210 |
$326K |
| 92134 |
|
14,855 |
12,180 |
$175K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,871 |
4,529 |
$121K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
196 |
162 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
865 |
795 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
200 |
200 |
$17K |
| 92136 |
|
609 |
532 |
$11K |
| 92015 |
Determination of refractive state |
806 |
805 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
187 |
$6K |
| 92133 |
|
299 |
219 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
73 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
77 |
$2K |
| 92083 |
|
90 |
74 |
$2K |
| 92060 |
|
25 |
13 |
$621.90 |