| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
5,581 |
3,380 |
$4.20M |
| 92015 |
Determination of refractive state |
81,651 |
64,774 |
$2.16M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57,944 |
44,822 |
$1.73M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26,615 |
21,854 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,569 |
28,211 |
$677K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,535 |
2,264 |
$343K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,807 |
4,132 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,470 |
5,889 |
$204K |
| 92250 |
|
6,612 |
4,822 |
$130K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
195 |
105 |
$107K |
| 92134 |
|
11,901 |
7,966 |
$105K |
| 92133 |
|
6,697 |
4,950 |
$76K |
| 92083 |
|
3,896 |
2,865 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,897 |
2,627 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,079 |
894 |
$47K |
| 92285 |
|
2,512 |
1,943 |
$40K |
| 92136 |
|
3,079 |
2,271 |
$36K |
| V2020 |
Frames, purchases |
598 |
531 |
$16K |
| 83861 |
|
843 |
551 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
133 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
388 |
345 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
222 |
203 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
172 |
153 |
$5K |
| 92025 |
|
384 |
266 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
114 |
$3K |
| 76514 |
|
626 |
470 |
$2K |
| 92341 |
|
54 |
53 |
$1K |
| 92020 |
|
119 |
110 |
$1K |
| 83516 |
|
234 |
132 |
$907.96 |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$700.80 |
| 66821 |
|
23 |
13 |
$692.76 |
| 92002 |
|
27 |
24 |
$652.33 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$598.80 |
| 92310 |
|
14 |
14 |
$543.60 |
| 92235 |
|
12 |
12 |
$530.38 |
| 92145 |
|
31 |
30 |
$157.60 |
| 99024 |
|
1,057 |
829 |
$0.00 |