| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
893 |
618 |
$1.24M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,070 |
1,527 |
$434K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,018 |
2,427 |
$106K |
| 92134 |
|
4,418 |
3,540 |
$102K |
| J9035 |
Injection, bevacizumab, 10 mg |
752 |
441 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
488 |
407 |
$24K |
| 92201 |
|
1,705 |
1,440 |
$19K |
| 92250 |
|
329 |
272 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
54 |
$5K |
| 92202 |
|
376 |
313 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 1036F |
|
1,331 |
950 |
$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 |
762 |
538 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
259 |
189 |
$0.00 |
| 5010F |
|
762 |
538 |
$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) |
653 |
433 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,621 |
1,154 |
$0.00 |
| 2022F |
|
955 |
684 |
$0.00 |
| 4040F |
|
1,238 |
875 |
$0.00 |
| 2021F |
|
762 |
538 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
159 |
108 |
$0.00 |