| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
2,501 |
2,353 |
$2.84M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,085 |
12,433 |
$730K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,552 |
15,946 |
$664K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,989 |
9,622 |
$590K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,428 |
6,229 |
$573K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,471 |
4,350 |
$546K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12,516 |
11,752 |
$433K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
388 |
380 |
$370K |
| 92015 |
Determination of refractive state |
43,838 |
38,936 |
$323K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,727 |
2,679 |
$253K |
| 92134 |
|
19,506 |
18,059 |
$233K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
91 |
88 |
$145K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,401 |
2,191 |
$76K |
| 92060 |
|
2,666 |
2,511 |
$69K |
| 00142 |
|
771 |
748 |
$49K |
| J9035 |
Injection, bevacizumab, 10 mg |
585 |
553 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,717 |
2,715 |
$26K |
| 92083 |
|
760 |
725 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
66 |
61 |
$6K |
| 67311 |
|
12 |
12 |
$5K |
| 92250 |
|
392 |
364 |
$4K |
| 92133 |
|
296 |
278 |
$3K |
| 92136 |
|
554 |
393 |
$3K |
| 92002 |
|
27 |
25 |
$797.43 |
| 83516 |
|
32 |
25 |
$560.51 |
| J7999 |
Compounded drug, not otherwise classified |
12 |
12 |
$390.64 |
| 83861 |
|
15 |
13 |
$287.28 |
| V2020 |
Frames, purchases |
12 |
12 |
$228.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$205.13 |