| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,838 |
3,184 |
$471K |
| J0178 |
Injection, aflibercept, 1 mg |
1,366 |
1,093 |
$363K |
| 92134 |
|
6,048 |
5,805 |
$142K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
407 |
310 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,760 |
3,675 |
$110K |
| 92083 |
|
2,290 |
2,245 |
$103K |
| 92133 |
|
2,558 |
2,506 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,498 |
1,423 |
$28K |
| 92250 |
|
436 |
423 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
501 |
492 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
377 |
365 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
775 |
741 |
$16K |
| J9035 |
Injection, bevacizumab, 10 mg |
627 |
505 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
105 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$4K |
| 92235 |
|
74 |
72 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$771.91 |
| 92020 |
|
43 |
39 |
$395.00 |