| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,279 |
3,166 |
$5.52M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,456 |
15,994 |
$1.08M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12,377 |
10,329 |
$676K |
| J9035 |
Injection, bevacizumab, 10 mg |
8,144 |
6,426 |
$654K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,215 |
1,886 |
$653K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,231 |
7,075 |
$492K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,333 |
10,932 |
$480K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,396 |
4,377 |
$404K |
| 92235 |
|
6,418 |
6,370 |
$400K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,113 |
4,094 |
$340K |
| 92134 |
|
16,836 |
16,321 |
$334K |
| 92083 |
|
7,793 |
7,750 |
$268K |
| 92250 |
|
11,040 |
10,842 |
$246K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,232 |
4,031 |
$185K |
| 92133 |
|
6,605 |
6,587 |
$131K |
| 92136 |
|
2,925 |
2,791 |
$71K |
| 67228 |
|
170 |
142 |
$31K |
| J3590 |
Unclassified biologics |
548 |
495 |
$26K |
| 76514 |
|
3,429 |
3,416 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
363 |
$22K |
| 92020 |
|
1,355 |
1,347 |
$20K |
| 92025 |
|
823 |
820 |
$17K |
| 92015 |
Determination of refractive state |
581 |
570 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
175 |
$6K |
| 66821 |
|
28 |
25 |
$4K |
| 67145 |
|
28 |
25 |
$4K |
| 65855 |
|
15 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$942.04 |
| 83861 |
|
67 |
37 |
$874.13 |
| 92285 |
|
52 |
52 |
$624.74 |