| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,586 |
4,672 |
$259K |
| 67228 |
|
461 |
325 |
$172K |
| 92235 |
|
4,707 |
3,766 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,378 |
3,191 |
$88K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
657 |
436 |
$69K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,804 |
1,284 |
$68K |
| 92250 |
|
3,496 |
2,899 |
$60K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,402 |
2,001 |
$59K |
| 92134 |
|
8,219 |
5,767 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
958 |
730 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,024 |
$21K |
| 67210 |
|
65 |
51 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
246 |
223 |
$12K |
| 92226 |
|
832 |
668 |
$6K |
| 92225 |
|
266 |
213 |
$3K |
| 92020 |
|
387 |
327 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
761 |
327 |
$2K |
| 92201 |
|
14 |
13 |
$127.40 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
112 |
92 |
$0.00 |
| 1036F |
|
226 |
188 |
$0.00 |
| 2024F |
|
53 |
45 |
$0.00 |
| 2022F |
|
154 |
125 |
$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) |
101 |
85 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
91 |
78 |
$0.00 |
| 2026F |
|
50 |
42 |
$0.00 |
| 4040F |
|
48 |
46 |
$0.00 |
| 5010F |
|
132 |
115 |
$0.00 |