| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,565 |
3,043 |
$3.02M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,911 |
19,277 |
$1.34M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,153 |
5,624 |
$554K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,806 |
6,250 |
$417K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,957 |
1,873 |
$263K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,260 |
4,545 |
$209K |
| 92134 |
|
6,425 |
5,857 |
$102K |
| 67311 |
|
135 |
131 |
$80K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
453 |
423 |
$34K |
| 92060 |
|
598 |
559 |
$28K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
176 |
103 |
$23K |
| 92015 |
Determination of refractive state |
17,367 |
16,307 |
$21K |
| 92136 |
|
1,044 |
905 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
166 |
$10K |
| 92285 |
|
727 |
660 |
$9K |
| J9035 |
Injection, bevacizumab, 10 mg |
111 |
69 |
$2K |
| 92133 |
|
98 |
87 |
$2K |
| 92250 |
|
97 |
83 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$542.68 |
| 92083 |
|
13 |
12 |
$379.97 |