| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
238 |
123 |
$77K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,064 |
1,252 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,747 |
2,304 |
$58K |
| 92015 |
Determination of refractive state |
6,691 |
4,849 |
$37K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,630 |
833 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
793 |
637 |
$20K |
| 92134 |
|
2,327 |
1,776 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,009 |
866 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
157 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
347 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
43 |
$1K |
| 92136 |
|
15 |
13 |
$388.32 |
| 92226 |
|
16 |
12 |
$89.35 |
| 92083 |
|
16 |
12 |
$59.04 |