| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
587 |
340 |
$320K |
| 92134 |
|
16,191 |
14,310 |
$171K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,248 |
4,372 |
$171K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,173 |
1,889 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,916 |
1,776 |
$59K |
| 92226 |
|
4,691 |
2,685 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,734 |
1,608 |
$42K |
| 92201 |
|
5,821 |
5,151 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
890 |
819 |
$20K |
| 92225 |
|
827 |
435 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
291 |
269 |
$15K |
| 92250 |
|
256 |
254 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
52 |
52 |
$6K |
| 92235 |
|
92 |
90 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
119 |
$2K |
| 76512 |
|
35 |
24 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$503.10 |
| J7999 |
Compounded drug, not otherwise classified |
17 |
13 |
$335.00 |
| 92202 |
|
59 |
55 |
$260.80 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,795 |
1,578 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,315 |
1,223 |
$0.00 |
| 4040F |
|
3,615 |
3,463 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,680 |
4,228 |
$0.00 |
| 2026F |
|
1,404 |
1,285 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
3,028 |
2,729 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,629 |
1,443 |
$0.00 |
| 5010F |
|
352 |
307 |
$0.00 |
| 2021F |
|
388 |
364 |
$0.00 |
| 2022F |
|
1,476 |
1,352 |
$0.00 |
| 2024F |
|
1,418 |
1,298 |
$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) |
692 |
609 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
26 |
26 |
$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 |
15 |
13 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
26 |
26 |
$0.00 |
| 1036F |
|
4,031 |
3,593 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,239 |
1,972 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
294 |
261 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,484 |
3,058 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
668 |
604 |
$0.00 |
| 4177F |
|
27 |
25 |
$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 |
354 |
309 |
$0.00 |
| 2023F |
|
42 |
40 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
60 |
54 |
$0.00 |
| 3072F |
|
55 |
53 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G2103 |
Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed |
25 |
25 |
$0.00 |