| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,842 |
1,150 |
$1.68M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,796 |
5,044 |
$1.30M |
| J9035 |
Injection, bevacizumab, 10 mg |
2,843 |
2,458 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,214 |
3,000 |
$188K |
| 92134 |
|
5,745 |
5,099 |
$162K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,640 |
2,405 |
$152K |
| 76512 |
|
2,434 |
1,609 |
$88K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
52 |
48 |
$36K |
| 92226 |
|
1,929 |
997 |
$33K |
| 92201 |
|
2,443 |
2,230 |
$31K |
| J7999 |
Compounded drug, not otherwise classified |
391 |
321 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
577 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
85 |
$7K |
| 92225 |
|
300 |
151 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
18 |
$299.30 |
| 92202 |
|
21 |
19 |
$237.67 |
| 92015 |
Determination of refractive state |
38 |
38 |
$181.85 |