| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,548 |
2,683 |
$509K |
| J0178 |
Injection, aflibercept, 1 mg |
391 |
294 |
$369K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
360 |
310 |
$309K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,868 |
7,241 |
$223K |
| 92134 |
|
12,003 |
9,648 |
$193K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,423 |
992 |
$101K |
| 92226 |
|
3,801 |
1,988 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
712 |
601 |
$37K |
| 92202 |
|
6,245 |
5,131 |
$32K |
| 92250 |
|
893 |
823 |
$27K |
| 92225 |
|
706 |
366 |
$18K |
| 99215 |
Prolong outpt/office vis |
220 |
183 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
155 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
147 |
135 |
$6K |
| 92201 |
|
171 |
133 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
23 |
15 |
$662.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$403.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,364 |
954 |
$26.00 |
| 2022F |
|
1,861 |
1,238 |
$0.21 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,602 |
973 |
$0.00 |
| 1036F |
|
3,643 |
2,435 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
2,706 |
1,814 |
$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 |
832 |
563 |
$0.00 |
| 4177F |
|
347 |
227 |
$0.00 |
| 4040F |
|
3,515 |
2,358 |
$0.00 |
| 5010F |
|
832 |
563 |
$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) |
2,327 |
1,550 |
$0.00 |
| 2021F |
|
834 |
564 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
967 |
660 |
$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 |
141 |
61 |
$0.00 |