| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,816 |
1,428 |
$473K |
| 68761 |
|
3,859 |
1,703 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,362 |
$105K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
135 |
133 |
$99K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,780 |
1,402 |
$74K |
| 92250 |
|
2,651 |
2,598 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,241 |
1,237 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,834 |
1,692 |
$69K |
| 92134 |
|
1,691 |
1,387 |
$44K |
| 92225 |
|
664 |
335 |
$20K |
| 92020 |
|
1,090 |
1,037 |
$17K |
| 92136 |
|
204 |
202 |
$9K |
| 92226 |
|
79 |
39 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
69 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
34 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
50 |
$793.23 |
| 92201 |
|
22 |
12 |
$385.46 |
| 1123F |
|
58 |
52 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
34 |
31 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
58 |
52 |
$0.00 |