| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,170 |
1,961 |
$2.42M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,668 |
15,583 |
$863K |
| 92134 |
|
20,468 |
16,122 |
$317K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,701 |
6,348 |
$247K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
682 |
680 |
$58K |
| 92015 |
Determination of refractive state |
3,837 |
3,795 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
664 |
$44K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,031 |
913 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
243 |
234 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
259 |
$10K |
| 92133 |
|
684 |
568 |
$10K |
| 92083 |
|
386 |
316 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$3K |
| 92285 |
|
196 |
169 |
$2K |
| 92136 |
|
92 |
77 |
$2K |
| 92060 |
|
43 |
30 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |