| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,921 |
2,853 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
983 |
970 |
$76K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,258 |
1,152 |
$65K |
| 92134 |
|
4,490 |
4,393 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
597 |
580 |
$26K |
| J9035 |
Injection, bevacizumab, 10 mg |
934 |
872 |
$26K |
| 92250 |
|
774 |
752 |
$15K |
| 92202 |
|
2,838 |
2,792 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
673 |
662 |
$12K |
| 92226 |
|
1,141 |
1,112 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
303 |
$5K |
| 76512 |
|
96 |
53 |
$3K |
| 92225 |
|
255 |
250 |
$3K |
| 92133 |
|
179 |
178 |
$3K |
| 92201 |
|
130 |
127 |
$2K |
| 1036F |
|
272 |
268 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
120 |
118 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
59 |
58 |
$0.00 |
| 4177F |
|
13 |
12 |
$0.00 |
| 2019F |
|
41 |
39 |
$0.00 |
| 2026F |
|
16 |
16 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
234 |
232 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
232 |
229 |
$0.00 |
| 2024F |
|
19 |
19 |
$0.00 |
| 2022F |
|
20 |
20 |
$0.00 |