| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
791 |
347 |
$366K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,690 |
4,279 |
$280K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,385 |
2,092 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,173 |
4,668 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,086 |
1,672 |
$119K |
| 92015 |
Determination of refractive state |
10,122 |
8,708 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,066 |
937 |
$76K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,511 |
1,351 |
$57K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,994 |
1,138 |
$41K |
| 92134 |
|
3,631 |
2,680 |
$36K |
| 92002 |
|
331 |
306 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
167 |
$12K |
| 92133 |
|
766 |
602 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
125 |
119 |
$6K |
| J9035 |
Injection, bevacizumab, 10 mg |
117 |
79 |
$6K |
| 92083 |
|
281 |
212 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$730.10 |
| 3072F |
|
1,259 |
1,083 |
$3.30 |
| 99072 |
|
440 |
421 |
$0.00 |