| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
673 |
547 |
$498K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
899 |
736 |
$138K |
| 92134 |
|
3,327 |
2,878 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
437 |
434 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
510 |
501 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
450 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
501 |
465 |
$6K |
| 83861 |
|
589 |
348 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
236 |
235 |
$2K |
| 92015 |
Determination of refractive state |
128 |
128 |
$2K |
| 83516 |
|
452 |
283 |
$1K |
| 92083 |
|
62 |
62 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
43 |
$1K |
| 92133 |
|
53 |
53 |
$1K |
| 92136 |
|
49 |
48 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$915.20 |
| 92499 |
|
12 |
12 |
$65.82 |