| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
839 |
748 |
$46K |
| 92134 |
|
4,056 |
3,893 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,439 |
1,411 |
$24K |
| J9035 |
Injection, bevacizumab, 10 mg |
446 |
409 |
$15K |
| 92235 |
|
386 |
376 |
$13K |
| 92201 |
|
2,073 |
2,042 |
$9K |
| 92226 |
|
1,100 |
787 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
539 |
533 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
469 |
437 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
232 |
227 |
$3K |
| 92250 |
|
140 |
136 |
$2K |
| 92202 |
|
536 |
525 |
$1K |
| 92020 |
|
292 |
283 |
$1K |
| 92242 |
|
13 |
13 |
$252.07 |
| 1036F |
|
53 |
53 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
82 |
79 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
82 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
95 |
92 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
83 |
80 |
$0.00 |