| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
82 |
76 |
$91K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,451 |
1,268 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,041 |
1,845 |
$52K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
149 |
117 |
$31K |
| 92134 |
|
2,925 |
2,641 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
853 |
798 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
406 |
$16K |
| 92015 |
Determination of refractive state |
764 |
740 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
206 |
198 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
208 |
196 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
142 |
140 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$750.88 |
| 92250 |
|
14 |
12 |
$347.09 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$229.39 |
| 99072 |
|
17 |
16 |
$0.00 |