| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
4,764 |
3,943 |
$4.93M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
26,756 |
21,867 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,627 |
24,904 |
$750K |
| 92134 |
|
45,759 |
39,183 |
$387K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,321 |
8,071 |
$334K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,938 |
2,429 |
$214K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
766 |
596 |
$181K |
| J3490 |
Unclassified drugs |
1,110 |
1,017 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,038 |
962 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,194 |
2,876 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
971 |
896 |
$44K |
| 92083 |
|
1,865 |
1,700 |
$32K |
| 92136 |
|
2,101 |
1,821 |
$26K |
| 92015 |
Determination of refractive state |
1,508 |
1,309 |
$18K |
| 92201 |
|
1,531 |
1,392 |
$15K |
| 92133 |
|
1,287 |
1,180 |
$14K |
| 92250 |
|
765 |
682 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
164 |
144 |
$5K |
| 92226 |
|
698 |
302 |
$4K |
| 92020 |
|
384 |
335 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
170 |
$2K |
| 92202 |
|
353 |
298 |
$2K |
| 92235 |
|
78 |
69 |
$2K |
| 92225 |
|
262 |
117 |
$2K |
| 92025 |
|
12 |
12 |
$113.66 |
| 76514 |
|
14 |
13 |
$72.04 |
| 99024 |
|
64 |
43 |
$0.00 |