| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
2,120 |
2,000 |
$2.74M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,764 |
4,577 |
$192K |
| 92134 |
|
6,789 |
6,678 |
$106K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,516 |
1,429 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,737 |
1,713 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,702 |
1,685 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
458 |
$36K |
| 92250 |
|
1,871 |
1,861 |
$30K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
13 |
13 |
$16K |
| 67228 |
|
58 |
52 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
189 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
75 |
$6K |
| 92235 |
|
55 |
53 |
$2K |
| 92226 |
|
65 |
36 |
$822.89 |
| 92202 |
|
63 |
63 |
$455.14 |
| J3590 |
Unclassified biologics |
12 |
12 |
$391.99 |
| 92225 |
|
18 |
12 |
$336.74 |
| 92201 |
|
14 |
13 |
$145.47 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
62 |
60 |
$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) |
35 |
34 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
21 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
34 |
33 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
16 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
40 |
40 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
30 |
29 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
40 |
$0.00 |