| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,643 |
2,179 |
$163K |
| J0178 |
Injection, aflibercept, 1 mg |
189 |
150 |
$135K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,173 |
1,786 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,565 |
1,338 |
$128K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
135 |
101 |
$125K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
682 |
460 |
$115K |
| 92134 |
|
3,723 |
3,119 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,503 |
1,212 |
$58K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
363 |
281 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
938 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
911 |
$40K |
| J7999 |
Compounded drug, not otherwise classified |
1,095 |
854 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
471 |
389 |
$31K |
| 92136 |
|
1,263 |
1,072 |
$26K |
| 92015 |
Determination of refractive state |
1,790 |
1,596 |
$17K |
| 92133 |
|
73 |
64 |
$2K |
| 92002 |
|
20 |
17 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
46 |
$1K |
| 92285 |
|
22 |
14 |
$364.64 |