| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
4,225 |
3,574 |
$4.52M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
44,635 |
40,993 |
$3.65M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,615 |
14,601 |
$1.82M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
19,125 |
12,931 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,136 |
14,328 |
$872K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,917 |
8,015 |
$665K |
| 92015 |
Determination of refractive state |
42,939 |
40,157 |
$598K |
| 92134 |
|
23,739 |
20,510 |
$533K |
| J7999 |
Compounded drug, not otherwise classified |
8,364 |
7,175 |
$482K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,652 |
7,663 |
$475K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,938 |
5,818 |
$281K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,255 |
1,173 |
$163K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
484 |
444 |
$123K |
| 92060 |
|
2,046 |
1,957 |
$121K |
| 92083 |
|
3,040 |
2,726 |
$111K |
| 92133 |
|
3,888 |
3,497 |
$88K |
| 92136 |
|
915 |
790 |
$21K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,072 |
1,953 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
152 |
$15K |
| 92002 |
|
94 |
91 |
$6K |
| J9035 |
Injection, bevacizumab, 10 mg |
123 |
116 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
600 |
546 |
$3K |
| 92285 |
|
251 |
225 |
$3K |
| 92235 |
|
39 |
37 |
$2K |
| 92250 |
|
51 |
46 |
$2K |
| 92020 |
|
107 |
90 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$893.38 |
| 92225 |
|
67 |
40 |
$861.44 |
| 92201 |
|
89 |
75 |
$729.88 |
| 2023F |
|
1,939 |
1,871 |
$0.00 |
| 2022F |
|
3,303 |
2,943 |
$0.00 |
| 2027F |
|
139 |
108 |
$0.00 |
| 2021F |
|
397 |
307 |
$0.00 |