| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
1,426 |
676 |
$640K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,977 |
8,838 |
$332K |
| 92015 |
Determination of refractive state |
9,285 |
8,148 |
$320K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,644 |
3,258 |
$213K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
9,516 |
8,076 |
$210K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,957 |
2,294 |
$152K |
| 92134 |
|
8,160 |
5,684 |
$78K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
375 |
300 |
$62K |
| 92083 |
|
2,477 |
1,809 |
$51K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,347 |
1,479 |
$45K |
| 92133 |
|
2,333 |
1,711 |
$27K |
| 92250 |
|
977 |
617 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
152 |
139 |
$18K |
| 92136 |
|
1,144 |
762 |
$13K |
| 92285 |
|
976 |
603 |
$10K |
| 83861 |
|
794 |
371 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
213 |
$4K |
| 92235 |
|
105 |
74 |
$3K |
| 92002 |
|
84 |
79 |
$3K |
| 92020 |
|
301 |
275 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
76 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
24 |
$1K |
| 92226 |
|
115 |
94 |
$1K |
| 92025 |
|
92 |
53 |
$884.45 |
| 92202 |
|
178 |
168 |
$765.38 |
| 92283 |
|
73 |
67 |
$702.77 |
| 92225 |
|
55 |
45 |
$624.30 |
| 92201 |
|
70 |
60 |
$522.83 |
| 76514 |
|
156 |
89 |
$459.54 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |