| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,566 |
3,377 |
$1.76M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20,954 |
20,101 |
$1.28M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,611 |
7,598 |
$399K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,906 |
5,563 |
$248K |
| 65855 |
|
3,614 |
3,292 |
$149K |
| 65800 |
|
5,217 |
4,904 |
$140K |
| 92250 |
|
11,337 |
11,302 |
$125K |
| 68761 |
|
6,870 |
6,842 |
$67K |
| 68840 |
|
3,333 |
3,301 |
$48K |
| 92083 |
|
6,350 |
6,348 |
$42K |
| 92235 |
|
4,083 |
4,069 |
$37K |
| 92273 |
|
2,461 |
2,458 |
$35K |
| 65820 |
|
61 |
60 |
$27K |
| 65210 |
|
1,522 |
1,511 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
248 |
248 |
$18K |
| 92134 |
|
4,697 |
4,578 |
$15K |
| 67820 |
|
1,533 |
1,516 |
$10K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
67 |
66 |
$9K |
| J7999 |
Compounded drug, not otherwise classified |
868 |
818 |
$5K |
| 92225 |
|
382 |
232 |
$2K |
| 92133 |
|
363 |
361 |
$2K |
| 76513 |
|
422 |
421 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$1K |
| 92020 |
|
105 |
104 |
$1K |
| 76512 |
|
168 |
86 |
$828.22 |
| 66821 |
|
16 |
16 |
$608.76 |
| 92136 |
|
75 |
73 |
$473.67 |
| 92201 |
|
28 |
28 |
$83.50 |
| 76514 |
|
166 |
166 |
$54.53 |