| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,252 |
3,199 |
$101K |
| 92242 |
|
1,164 |
1,162 |
$86K |
| 92134 |
|
4,139 |
3,996 |
$53K |
| 92273 |
|
1,727 |
1,718 |
$52K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,080 |
1,006 |
$50K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,140 |
1,054 |
$32K |
| 92287 |
|
1,295 |
1,286 |
$29K |
| 67228 |
|
44 |
37 |
$12K |
| 92202 |
|
2,370 |
2,271 |
$10K |
| 92235 |
|
411 |
408 |
$9K |
| 92226 |
|
1,584 |
889 |
$8K |
| 92082 |
|
372 |
369 |
$6K |
| 76512 |
|
255 |
149 |
$6K |
| 92250 |
|
215 |
189 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
130 |
129 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
48 |
$1K |
| 92201 |
|
115 |
111 |
$977.71 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$584.10 |
| 95919 |
|
226 |
225 |
$486.40 |
| 92225 |
|
23 |
13 |
$207.50 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
896 |
769 |
$0.00 |
| 1036F |
|
962 |
834 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
43 |
32 |
$0.00 |
| 4177F |
|
25 |
24 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
45 |
44 |
$0.00 |
| 2026F |
|
79 |
65 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
870 |
759 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
283 |
248 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
82 |
73 |
$0.00 |
| 4040F |
|
55 |
48 |
$0.00 |
| 2021F |
|
67 |
54 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
50 |
43 |
$0.00 |
| 5010F |
|
44 |
33 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
25 |
24 |
$0.00 |
| 2024F |
|
67 |
53 |
$0.00 |
| 2022F |
|
67 |
53 |
$0.00 |