| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
841 |
772 |
$816K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,557 |
1,161 |
$344K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,794 |
5,600 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,666 |
3,584 |
$211K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,779 |
2,743 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,875 |
1,862 |
$160K |
| 92134 |
|
6,085 |
5,825 |
$104K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,481 |
2,197 |
$81K |
| 92083 |
|
2,430 |
2,403 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,563 |
1,415 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
971 |
$47K |
| 92133 |
|
2,631 |
2,604 |
$46K |
| 92136 |
|
1,939 |
1,878 |
$43K |
| 92015 |
Determination of refractive state |
1,750 |
1,739 |
$19K |
| 92250 |
|
817 |
803 |
$17K |
| J9035 |
Injection, bevacizumab, 10 mg |
147 |
132 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
107 |
$6K |
| 92002 |
|
40 |
40 |
$2K |
| 76514 |
|
160 |
160 |
$902.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$396.20 |
| J3590 |
Unclassified biologics |
12 |
12 |
$305.11 |
| 92025 |
|
14 |
14 |
$239.41 |