| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,783 |
3,142 |
$1.78M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,030 |
13,933 |
$702K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,922 |
8,320 |
$611K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,255 |
5,340 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,272 |
5,131 |
$176K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,019 |
541 |
$124K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,466 |
3,924 |
$119K |
| 92134 |
|
8,777 |
7,626 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,859 |
5,614 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,153 |
1,796 |
$73K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
74 |
66 |
$44K |
| 92136 |
|
1,953 |
1,551 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,110 |
940 |
$13K |
| J9035 |
Injection, bevacizumab, 10 mg |
428 |
367 |
$11K |
| 92250 |
|
557 |
507 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
158 |
$9K |
| 92083 |
|
314 |
284 |
$7K |
| 92133 |
|
319 |
279 |
$4K |
| 92285 |
|
383 |
347 |
$3K |
| 92020 |
|
15 |
12 |
$125.28 |
| 92015 |
Determination of refractive state |
122 |
109 |
$22.21 |