| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
221 |
189 |
$45K |
| 92134 |
|
901 |
795 |
$21K |
| J9035 |
Injection, bevacizumab, 10 mg |
174 |
148 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
139 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
209 |
207 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
103 |
99 |
$2K |
| 92235 |
|
15 |
15 |
$817.30 |
| J7999 |
Compounded drug, not otherwise classified |
17 |
15 |
$213.81 |
| 99024 |
|
96 |
77 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
62 |
62 |
$0.00 |
| 2022F |
|
93 |
68 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
128 |
118 |
$0.00 |