| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,278 |
1,850 |
$1.37M |
| 67228 |
|
1,558 |
1,182 |
$306K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,838 |
3,975 |
$229K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
332 |
276 |
$211K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,088 |
3,007 |
$167K |
| 67210 |
|
852 |
742 |
$156K |
| J0177 |
Injection, aflibercept hd, 1 mg |
172 |
147 |
$150K |
| 92134 |
|
7,686 |
7,330 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,430 |
1,176 |
$107K |
| 92235 |
|
1,298 |
1,277 |
$74K |
| 92273 |
|
915 |
900 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
378 |
372 |
$35K |
| 92250 |
|
1,558 |
1,464 |
$34K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,429 |
1,217 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
156 |
156 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
628 |
599 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
215 |
$17K |
| 92202 |
|
1,966 |
1,920 |
$12K |
| 92226 |
|
1,081 |
695 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
43 |
$5K |
| 90674 |
|
183 |
183 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
310 |
296 |
$5K |
| 94060 |
|
110 |
110 |
$4K |
| 92201 |
|
246 |
245 |
$3K |
| 92225 |
|
293 |
172 |
$3K |
| 93000 |
|
211 |
211 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
281 |
280 |
$1K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
28 |
28 |
$502.74 |
| 76512 |
|
17 |
12 |
$379.04 |
| 92020 |
|
20 |
20 |
$240.93 |
| 99406 |
|
12 |
12 |
$92.10 |
| 94010 |
|
97 |
97 |
$21.96 |
| H0049 |
Alcohol and/or drug screening |
279 |
278 |
$21.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
275 |
274 |
$14.04 |
| 36415 |
Collection of venous blood by venipuncture |
343 |
340 |
$0.00 |