| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
649 |
389 |
$351K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,238 |
4,208 |
$128K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,456 |
1,623 |
$102K |
| 92250 |
|
3,136 |
2,095 |
$45K |
| 92134 |
|
5,622 |
4,001 |
$45K |
| J9035 |
Injection, bevacizumab, 10 mg |
566 |
410 |
$17K |
| 92235 |
|
587 |
463 |
$17K |
| 92201 |
|
2,784 |
2,049 |
$17K |
| 92226 |
|
2,485 |
1,297 |
$12K |
| 67210 |
|
18 |
15 |
$3K |
| 92273 |
|
21 |
13 |
$464.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
882 |
606 |
$367.55 |
| 92020 |
|
77 |
65 |
$362.84 |
| 92202 |
|
137 |
53 |
$116.57 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
14 |
$47.42 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
205 |
135 |
$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 |
442 |
268 |
$0.00 |
| 1036F |
|
1,728 |
1,194 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,507 |
1,044 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
108 |
86 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,081 |
1,440 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,227 |
825 |
$0.00 |
| 4040F |
|
633 |
420 |
$0.00 |
| 5010F |
|
439 |
268 |
$0.00 |
| 2026F |
|
818 |
520 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
463 |
334 |
$0.00 |
| 2022F |
|
887 |
551 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,608 |
1,087 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
144 |
89 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
452 |
318 |
$0.00 |
| 0517F |
|
57 |
26 |
$0.00 |
| 2024F |
|
849 |
539 |
$0.00 |
| 2021F |
|
47 |
24 |
$0.00 |