| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,723 |
1,446 |
$2.72M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,566 |
7,107 |
$2.58M |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
1,377 |
1,139 |
$2.42M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,288 |
2,237 |
$1.86M |
| 68761 |
|
5,794 |
3,477 |
$651K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,046 |
13,921 |
$572K |
| 92250 |
|
14,762 |
14,654 |
$569K |
| 92134 |
|
14,397 |
13,990 |
$436K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,242 |
5,228 |
$418K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,095 |
3,483 |
$282K |
| 67228 |
|
947 |
803 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,153 |
9,514 |
$269K |
| 92133 |
|
7,764 |
7,717 |
$239K |
| 92083 |
|
5,861 |
5,830 |
$162K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,311 |
4,262 |
$154K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,626 |
4,346 |
$151K |
| 92235 |
|
1,642 |
1,639 |
$123K |
| 92136 |
|
2,650 |
2,553 |
$117K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
554 |
554 |
$52K |
| 76514 |
|
4,863 |
4,845 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
733 |
728 |
$49K |
| 92020 |
|
2,883 |
2,848 |
$46K |
| 66821 |
|
211 |
185 |
$32K |
| 92015 |
Determination of refractive state |
1,406 |
1,391 |
$20K |
| 99205 |
Prolong outpt/office vis |
201 |
201 |
$19K |
| 92025 |
|
600 |
599 |
$16K |
| 99243 |
|
198 |
198 |
$13K |
| 67210 |
|
32 |
27 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
542 |
506 |
$10K |
| 99215 |
Prolong outpt/office vis |
168 |
167 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
114 |
113 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
832 |
817 |
$5K |
| 65855 |
|
15 |
12 |
$3K |
| 92225 |
|
18 |
12 |
$888.58 |
| 92201 |
|
35 |
29 |
$668.61 |
| 76512 |
|
17 |
15 |
$605.30 |
| 92081 |
|
13 |
13 |
$305.83 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
97 |
97 |
$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 |
14 |
14 |
$0.00 |
| 0517F |
|
14 |
14 |
$0.00 |
| 3284F |
|
14 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
16 |
$0.00 |