| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,243 |
948 |
$1.27M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,665 |
2,114 |
$440K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,420 |
3,786 |
$126K |
| 92134 |
|
6,088 |
5,191 |
$107K |
| J9035 |
Injection, bevacizumab, 10 mg |
513 |
349 |
$31K |
| 92201 |
|
3,136 |
2,741 |
$28K |
| 92226 |
|
1,247 |
672 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
232 |
212 |
$11K |
| 92250 |
|
298 |
273 |
$9K |
| 92225 |
|
118 |
66 |
$3K |
| 2022F |
|
852 |
626 |
$0.09 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,631 |
1,182 |
$0.04 |
| G8482 |
Influenza immunization administered or previously received |
392 |
265 |
$0.00 |
| 2021F |
|
650 |
465 |
$0.00 |
| 4040F |
|
1,316 |
944 |
$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) |
279 |
196 |
$0.00 |
| 5010F |
|
652 |
466 |
$0.00 |
| 1036F |
|
1,470 |
1,072 |
$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 |
652 |
466 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
469 |
341 |
$0.00 |