| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,921 |
2,525 |
$2.30M |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
506 |
478 |
$497K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,041 |
5,434 |
$304K |
| 92134 |
|
9,944 |
8,911 |
$169K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
414 |
338 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,199 |
1,134 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
177 |
172 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
46 |
25 |
$6K |
| 92136 |
|
330 |
307 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$4K |
| 92201 |
|
250 |
212 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$692.42 |
| 92285 |
|
46 |
44 |
$518.43 |
| 92020 |
|
16 |
15 |
$185.49 |
| 92226 |
|
14 |
14 |
$136.11 |
| 92202 |
|
14 |
14 |
$92.31 |