| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,720 |
1,965 |
$1.45M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,590 |
3,214 |
$153K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,400 |
3,106 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,050 |
3,347 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,255 |
1,129 |
$87K |
| 92134 |
|
5,666 |
4,747 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,079 |
967 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
474 |
379 |
$10K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
314 |
201 |
$10K |
| 92235 |
|
247 |
206 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
275 |
215 |
$6K |
| 92133 |
|
435 |
390 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
13 |
$4K |
| 92083 |
|
238 |
212 |
$4K |
| 92015 |
Determination of refractive state |
2,818 |
2,550 |
$3K |
| 92250 |
|
211 |
193 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
110 |
95 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$995.80 |
| 92136 |
|
17 |
12 |
$256.14 |