| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
869 |
610 |
$240K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,955 |
2,030 |
$81K |
| 92134 |
|
4,620 |
3,589 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,387 |
1,070 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
129 |
100 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
25 |
$188.34 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
515 |
481 |
$0.00 |
| 1036F |
|
577 |
522 |
$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 |
69 |
63 |
$0.00 |
| 4177F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,025 |
915 |
$0.00 |
| 2022F |
|
165 |
148 |
$0.00 |