| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,356 |
1,194 |
$1.14M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,620 |
3,912 |
$121K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,304 |
1,988 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,505 |
2,286 |
$87K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,668 |
3,305 |
$81K |
| 92134 |
|
6,561 |
6,061 |
$67K |
| 92250 |
|
3,412 |
3,106 |
$46K |
| 92235 |
|
1,434 |
1,344 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
408 |
$22K |
| J7999 |
Compounded drug, not otherwise classified |
119 |
112 |
$4K |
| 67210 |
|
14 |
12 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
54 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
15 |
$611.80 |
| 76512 |
|
40 |
39 |
$590.64 |
| 67228 |
|
15 |
12 |
$551.97 |
| 92275 |
|
14 |
12 |
$362.60 |
| 1036F |
|
1,942 |
1,598 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,024 |
865 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,260 |
1,804 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
180 |
144 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,063 |
918 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
182 |
145 |
$0.00 |
| 4004F |
|
132 |
95 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |