| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,684 |
8,414 |
$1.44M |
| J0178 |
Injection, aflibercept, 1 mg |
871 |
681 |
$935K |
| 92134 |
|
11,945 |
11,316 |
$250K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,033 |
2,960 |
$128K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
870 |
834 |
$34K |
| J9035 |
Injection, bevacizumab, 10 mg |
302 |
254 |
$17K |
| J7999 |
Compounded drug, not otherwise classified |
1,766 |
1,469 |
$16K |
| 92201 |
|
469 |
452 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
95 |
92 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
47 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$1K |
| 92202 |
|
139 |
136 |
$916.97 |
| 92250 |
|
13 |
13 |
$429.61 |
| 99072 |
|
1,004 |
949 |
$387.50 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
30 |
28 |
$0.00 |
| 1036F |
|
48 |
45 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
44 |
41 |
$0.00 |