| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
794 |
695 |
$39K |
| 92134 |
|
1,661 |
1,588 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
521 |
515 |
$12K |
| 92235 |
|
281 |
280 |
$11K |
| J9035 |
Injection, bevacizumab, 10 mg |
482 |
428 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
356 |
345 |
$7K |
| 92250 |
|
310 |
306 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
98 |
98 |
$2K |
| 92202 |
|
138 |
131 |
$719.99 |
| 76512 |
|
25 |
24 |
$592.31 |
| 92226 |
|
230 |
132 |
$396.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
30 |
24 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
43 |
37 |
$0.00 |
| 1036F |
|
80 |
70 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
14 |
$0.00 |