| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,301 |
3,088 |
$4.22M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25,143 |
22,875 |
$1.68M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,592 |
6,266 |
$677K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,107 |
904 |
$621K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
11,504 |
10,250 |
$602K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
355 |
319 |
$503K |
| 92060 |
|
9,172 |
8,750 |
$457K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,981 |
5,565 |
$378K |
| 92134 |
|
19,001 |
16,842 |
$378K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,073 |
5,157 |
$347K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,537 |
1,130 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,317 |
4,034 |
$240K |
| 92015 |
Determination of refractive state |
14,461 |
13,869 |
$217K |
| V2025 |
Deluxe frame |
3,002 |
2,998 |
$186K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,830 |
1,827 |
$151K |
| 92083 |
|
4,051 |
3,726 |
$118K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,471 |
2,454 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
679 |
623 |
$58K |
| 92136 |
|
2,678 |
2,377 |
$57K |
| 92133 |
|
2,125 |
1,973 |
$43K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
434 |
411 |
$22K |
| J9035 |
Injection, bevacizumab, 10 mg |
268 |
253 |
$19K |
| 92250 |
|
662 |
603 |
$19K |
| 92226 |
|
988 |
259 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
340 |
$13K |
| 92235 |
|
251 |
225 |
$12K |
| 92285 |
|
895 |
829 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
229 |
115 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
34 |
$3K |
| 99221 |
|
47 |
37 |
$2K |
| 92225 |
|
67 |
25 |
$1K |
| 92002 |
|
12 |
12 |
$771.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$500.66 |
| V2020 |
Frames, purchases |
12 |
12 |
$361.00 |
| 92020 |
|
32 |
25 |
$350.79 |
| 92201 |
|
18 |
13 |
$327.44 |
| 76514 |
|
29 |
25 |
$203.87 |