| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,014 |
5,954 |
$252K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,232 |
951 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,071 |
848 |
$34K |
| 92134 |
|
2,674 |
2,027 |
$34K |
| 92250 |
|
846 |
636 |
$22K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
310 |
162 |
$14K |
| 92020 |
|
778 |
591 |
$6K |
| 92015 |
Determination of refractive state |
244 |
185 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
155 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
206 |
128 |
$2K |
| 92226 |
|
236 |
123 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
41 |
$1K |
| 92083 |
|
13 |
13 |
$430.65 |
| 76519 |
|
45 |
29 |
$369.76 |
| 67515 |
|
14 |
12 |
$322.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$38.07 |
| 1036F |
|
7,786 |
6,482 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,076 |
7,489 |
$0.01 |
| 3017F |
|
173 |
163 |
$0.00 |
| 1111F |
|
553 |
499 |
$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 |
874 |
785 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
134 |
126 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
128 |
122 |
$0.00 |
| 3284F |
|
16 |
13 |
$0.00 |
| 5010F |
|
253 |
217 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
128 |
120 |
$0.00 |
| 4004F |
|
292 |
263 |
$0.00 |
| 2022F |
|
65 |
58 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
148 |
140 |
$0.00 |
| 2027F |
|
41 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
53 |
48 |
$0.00 |