| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,981 |
1,666 |
$1.38M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,501 |
2,037 |
$568K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,426 |
4,206 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,574 |
2,057 |
$152K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,178 |
2,053 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,835 |
2,165 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,012 |
744 |
$44K |
| 92136 |
|
2,658 |
1,269 |
$41K |
| 92134 |
|
3,585 |
2,693 |
$32K |
| 92250 |
|
575 |
500 |
$12K |
| 83861 |
|
996 |
390 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
258 |
174 |
$5K |
| 92083 |
|
155 |
121 |
$3K |
| 92133 |
|
220 |
166 |
$3K |
| 92025 |
|
113 |
92 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 66821 |
|
19 |
13 |
$1K |
| 83516 |
|
260 |
108 |
$764.40 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45 |
28 |
$725.63 |
| J3590 |
Unclassified biologics |
476 |
339 |
$54.28 |
| J3490 |
Unclassified drugs |
19 |
18 |
$0.00 |