| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
511 |
459 |
$228K |
| 92134 |
|
3,568 |
2,921 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
309 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
504 |
434 |
$20K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,451 |
1,214 |
$10K |
| 92250 |
|
72 |
64 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
85 |
$2K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
191 |
179 |
$62.53 |
| 1036F |
|
407 |
372 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
288 |
258 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
191 |
179 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
400 |
365 |
$0.00 |
| 4040F |
|
274 |
248 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
14 |
$0.00 |
| 2026F |
|
30 |
25 |
$0.00 |
| 2022F |
|
30 |
25 |
$0.00 |
| 2024F |
|
30 |
25 |
$0.00 |