| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,105 |
1,054 |
$43K |
| 92134 |
|
2,311 |
2,243 |
$42K |
| J9035 |
Injection, bevacizumab, 10 mg |
149 |
142 |
$10K |
| 92201 |
|
883 |
864 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
124 |
123 |
$7K |
| 92226 |
|
601 |
365 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
58 |
$3K |
| 92250 |
|
99 |
98 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 4040F |
|
1,204 |
1,193 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
586 |
578 |
$0.00 |
| 2022F |
|
283 |
280 |
$0.00 |
| 2024F |
|
282 |
279 |
$0.00 |
| 2026F |
|
282 |
279 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
278 |
272 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
101 |
99 |
$0.00 |
| 2021F |
|
131 |
130 |
$0.00 |
| 5010F |
|
248 |
245 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
395 |
392 |
$0.00 |
| 1036F |
|
1,029 |
1,013 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
420 |
417 |
$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 |
248 |
245 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
902 |
888 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
454 |
452 |
$0.00 |