| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
644 |
428 |
$402K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
312 |
185 |
$260K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,103 |
1,227 |
$99K |
| 92134 |
|
3,513 |
2,829 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
417 |
$11K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
64 |
48 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
157 |
$6K |
| 92133 |
|
303 |
254 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
40 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
57 |
53 |
$762.60 |
| 92015 |
Determination of refractive state |
70 |
64 |
$519.07 |