| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,356 |
1,351 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
802 |
802 |
$107K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,012 |
996 |
$67K |
| 92134 |
|
1,580 |
1,577 |
$43K |
| 92083 |
|
531 |
531 |
$32K |
| 92250 |
|
637 |
636 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
159 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
101 |
$10K |
| 92133 |
|
127 |
127 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
52 |
50 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
39 |
37 |
$841.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$636.18 |
| 76512 |
|
12 |
12 |
$528.32 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
3,892 |
3,843 |
$64.65 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,740 |
3,693 |
$47.53 |
| 1036F |
|
2,575 |
2,547 |
$47.53 |
| 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 |
273 |
270 |
$31.02 |
| 4177F |
|
168 |
167 |
$31.02 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,290 |
2,274 |
$25.71 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
49 |
49 |
$0.00 |