| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,695 |
1,232 |
$160K |
| 92250 |
|
4,445 |
3,976 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,192 |
2,973 |
$77K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
145 |
112 |
$72K |
| 92285 |
|
4,691 |
4,252 |
$64K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,780 |
1,301 |
$55K |
| 92083 |
|
2,497 |
2,362 |
$42K |
| 92133 |
|
2,016 |
1,894 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
851 |
776 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
155 |
$8K |
| 92134 |
|
803 |
765 |
$7K |
| 92020 |
|
428 |
381 |
$6K |
| 76514 |
|
1,170 |
1,025 |
$5K |
| 99243 |
|
54 |
33 |
$4K |
| 92015 |
Determination of refractive state |
201 |
176 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
39 |
$2K |
| 92136 |
|
89 |
40 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$311.85 |
| 0517F |
|
438 |
383 |
$18.45 |
| 2022F |
|
393 |
335 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
853 |
711 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
864 |
736 |
$0.00 |
| 2024F |
|
306 |
261 |
$0.00 |
| 2026F |
|
305 |
260 |
$0.00 |
| 2027F |
|
134 |
121 |
$0.00 |
| 5010F |
|
41 |
34 |
$0.00 |
| 2021F |
|
19 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,357 |
1,128 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
850 |
709 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,771 |
1,489 |
$0.00 |
| 1036F |
|
1,490 |
1,244 |
$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 |
41 |
34 |
$0.00 |