| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
291 |
203 |
$49K |
| J0178 |
Injection, aflibercept, 1 mg |
15 |
12 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
428 |
317 |
$12K |
| 92226 |
|
382 |
189 |
$9K |
| 92134 |
|
572 |
437 |
$9K |
| J9035 |
Injection, bevacizumab, 10 mg |
25 |
12 |
$2K |
| 1036F |
|
177 |
121 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
93 |
63 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
130 |
76 |
$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 |
22 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
121 |
82 |
$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) |
75 |
42 |
$0.00 |
| 2022F |
|
27 |
16 |
$0.00 |
| 5010F |
|
22 |
12 |
$0.00 |
| 4040F |
|
156 |
99 |
$0.00 |