| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
213 |
141 |
$76K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,468 |
2,035 |
$62K |
| 92134 |
|
3,048 |
2,574 |
$51K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
49 |
42 |
$26K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,274 |
901 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$2K |
| 92202 |
|
201 |
153 |
$1K |
| 4040F |
|
678 |
584 |
$413.02 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
145 |
122 |
$359.99 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,481 |
1,248 |
$102.66 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
26 |
25 |
$26.28 |
| 1036F |
|
1,607 |
1,372 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
317 |
270 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,899 |
1,593 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
170 |
152 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
299 |
281 |
$0.00 |