| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
7,786 |
4,354 |
$4.72M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26,972 |
22,727 |
$790K |
| 92015 |
Determination of refractive state |
19,219 |
15,724 |
$548K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
10,166 |
6,956 |
$439K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,106 |
5,162 |
$332K |
| 92134 |
|
16,919 |
14,056 |
$201K |
| Q5128 |
Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg |
259 |
167 |
$180K |
| J0177 |
Injection, aflibercept hd, 1 mg |
290 |
118 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,676 |
3,839 |
$134K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
870 |
572 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,220 |
3,549 |
$106K |
| 92083 |
|
3,445 |
2,924 |
$78K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,815 |
3,194 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,334 |
3,628 |
$65K |
| 92133 |
|
3,730 |
3,168 |
$49K |
| 92060 |
|
1,632 |
1,401 |
$43K |
| 99243 |
|
495 |
403 |
$34K |
| 92250 |
|
1,007 |
839 |
$25K |
| 92136 |
|
749 |
601 |
$15K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,217 |
1,406 |
$15K |
| V2020 |
Frames, purchases |
497 |
483 |
$14K |
| 92285 |
|
706 |
612 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
171 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
130 |
$11K |
| 92202 |
|
2,107 |
1,854 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
321 |
312 |
$7K |
| 92025 |
|
373 |
300 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
46 |
44 |
$5K |
| 92235 |
|
147 |
125 |
$5K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
144 |
139 |
$4K |
| 92020 |
|
371 |
316 |
$3K |
| 92201 |
|
316 |
245 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
63 |
61 |
$3K |
| 92370 |
|
284 |
277 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
63 |
$2K |
| 92341 |
|
72 |
70 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
42 |
$2K |
| 76514 |
|
365 |
320 |
$1K |
| 68761 |
|
23 |
12 |
$853.78 |
| 11900 |
|
13 |
13 |
$205.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$16.43 |
| 99024 |
|
246 |
128 |
$0.00 |
| 99058 |
|
97 |
93 |
$0.00 |