| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
894 |
730 |
$740K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,026 |
10,894 |
$540K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,614 |
14,276 |
$453K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,637 |
6,424 |
$259K |
| 92015 |
Determination of refractive state |
17,354 |
17,070 |
$218K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
349 |
278 |
$160K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,749 |
3,673 |
$142K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
106 |
88 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,216 |
2,196 |
$107K |
| 92060 |
|
3,462 |
2,140 |
$101K |
| 92134 |
|
5,952 |
4,245 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,293 |
1,285 |
$88K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,881 |
2,346 |
$87K |
| 68761 |
|
642 |
632 |
$62K |
| 92083 |
|
2,334 |
1,758 |
$59K |
| 92250 |
|
2,057 |
1,573 |
$31K |
| 92133 |
|
1,957 |
1,524 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
152 |
$19K |
| 92341 |
|
350 |
350 |
$12K |
| 92136 |
|
843 |
520 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
47 |
47 |
$11K |
| 92235 |
|
145 |
109 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
41 |
39 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
205 |
164 |
$6K |
| 92020 |
|
348 |
346 |
$5K |
| 92201 |
|
399 |
398 |
$5K |
| 92286 |
|
152 |
132 |
$3K |
| 76514 |
|
397 |
275 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
44 |
$1K |
| 92225 |
|
82 |
45 |
$1K |
| 92285 |
|
138 |
100 |
$1K |
| 92370 |
|
14 |
14 |
$164.64 |