HIGH COUNTRY MACULA RETINA AND VITREOUS PC
NPI: 1477666568
· ALBUQUERQUE, NM 87107
· 207W00000X
$814K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,601 |
$308K |
| 2019 |
4,927 |
$226K |
| 2020 |
4,499 |
$195K |
| 2021 |
2,253 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
283 |
255 |
$204K |
| 92134 |
|
7,783 |
7,075 |
$195K |
| 67028 |
|
3,445 |
3,178 |
$177K |
| J9035 |
Bevacizumab injection |
1,424 |
1,348 |
$77K |
| 99213 |
|
1,775 |
1,669 |
$61K |
| 92012 |
|
1,124 |
1,060 |
$35K |
| 99204 |
|
277 |
271 |
$28K |
| 92014 |
|
379 |
361 |
$25K |
| 92235 |
|
127 |
111 |
$7K |
| 92250 |
|
139 |
124 |
$5K |
| 99072 |
|
168 |
156 |
$445.24 |
| J7999 |
Compounded drug, noc |
28 |
27 |
$282.00 |
| G8427 |
Docrev cur meds by elig clin |
169 |
166 |
$0.00 |
| 5010F |
|
96 |
91 |
$0.00 |
| G9974 |
Mac exam perf |
25 |
24 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
26 |
25 |
$0.00 |
| 4177F |
|
12 |
12 |
$0.00 |