| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,876 |
7,859 |
$231K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,126 |
4,006 |
$126K |
| 92134 |
|
8,421 |
8,344 |
$121K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,969 |
2,900 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,440 |
1,437 |
$73K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,283 |
3,177 |
$57K |
| 92250 |
|
4,464 |
4,302 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,784 |
1,776 |
$40K |
| J0178 |
Injection, aflibercept, 1 mg |
40 |
40 |
$16K |
| 92235 |
|
2,419 |
2,417 |
$14K |
| 92226 |
|
1,755 |
1,112 |
$9K |
| 67228 |
|
104 |
102 |
$5K |
| 92020 |
|
318 |
318 |
$2K |
| 76512 |
|
216 |
195 |
$2K |
| 92202 |
|
1,219 |
1,219 |
$863.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$361.66 |
| 92225 |
|
40 |
26 |
$177.27 |
| 92201 |
|
102 |
102 |
$114.08 |
| 2022F |
|
84 |
81 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
168 |
164 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
74 |
72 |
$0.00 |
| 2026F |
|
80 |
77 |
$0.00 |
| 2027F |
|
34 |
34 |
$0.00 |
| 5010F |
|
39 |
36 |
$0.00 |
| 2024F |
|
84 |
81 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
253 |
247 |
$0.00 |
| 0517F |
|
34 |
34 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
169 |
165 |
$0.00 |
| 4177F |
|
143 |
140 |
$0.00 |
| 1036F |
|
245 |
239 |
$0.00 |
| 99024 |
|
52 |
36 |
$0.00 |
| 3072F |
|
17 |
17 |
$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 |
39 |
36 |
$0.00 |
| 3284F |
|
18 |
18 |
$0.00 |
| 3285F |
|
18 |
18 |
$0.00 |