| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,112 |
3,100 |
$130K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,149 |
2,259 |
$66K |
| 92134 |
|
7,139 |
3,776 |
$64K |
| J0178 |
Injection, aflibercept, 1 mg |
98 |
55 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,879 |
1,119 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,828 |
1,085 |
$27K |
| 92250 |
|
801 |
481 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
57 |
$3K |
| 99205 |
Prolong outpt/office vis |
21 |
13 |
$790.06 |
| 92235 |
|
17 |
12 |
$393.46 |
| 2022F |
|
264 |
158 |
$4.81 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,669 |
1,011 |
$4.81 |
| 2021F |
|
257 |
153 |
$4.81 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
617 |
318 |
$4.81 |
| 5010F |
|
257 |
153 |
$4.81 |
| 1036F |
|
3,429 |
2,044 |
$4.81 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
1,446 |
882 |
$4.81 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
257 |
153 |
$4.81 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,187 |
716 |
$0.00 |
| 4040F |
|
3,329 |
1,998 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,216 |
1,326 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
135 |
73 |
$0.00 |
| 4004F |
|
15 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,085 |
1,881 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
3,122 |
1,948 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
15 |
12 |
$0.00 |
| 4177F |
|
133 |
72 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
13 |
$0.00 |