| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
19,225 |
17,605 |
$1.51M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16,035 |
15,063 |
$634K |
| J9035 |
Injection, bevacizumab, 10 mg |
9,238 |
8,399 |
$309K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,369 |
5,062 |
$299K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,354 |
10,146 |
$273K |
| 92134 |
|
28,675 |
27,302 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,942 |
2,900 |
$165K |
| J7999 |
Compounded drug, not otherwise classified |
7,469 |
6,947 |
$128K |
| 92250 |
|
9,601 |
9,538 |
$84K |
| 92235 |
|
4,665 |
4,493 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,097 |
1,097 |
$45K |
| 92226 |
|
6,433 |
3,994 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,462 |
1,460 |
$38K |
| 92201 |
|
3,784 |
3,673 |
$10K |
| 92225 |
|
372 |
221 |
$2K |
| 92242 |
|
142 |
142 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$2K |
| 76512 |
|
70 |
66 |
$1K |
| 2022F |
|
629 |
591 |
$1K |
| 92202 |
|
430 |
411 |
$786.05 |
| 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 |
806 |
769 |
$0.14 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,683 |
1,597 |
$0.01 |
| 3046F |
|
447 |
424 |
$0.00 |
| 2027F |
|
126 |
125 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
57 |
54 |
$0.00 |
| 5010F |
|
31 |
30 |
$0.00 |
| 4177F |
|
780 |
745 |
$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 |
31 |
30 |
$0.00 |