| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,502 |
1,285 |
$1.64M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,861 |
8,585 |
$311K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,446 |
1,894 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,153 |
5,698 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,177 |
5,790 |
$163K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,189 |
4,351 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,409 |
2,364 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,802 |
2,700 |
$140K |
| 92134 |
|
8,491 |
7,777 |
$96K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,648 |
1,418 |
$78K |
| 92136 |
|
4,635 |
4,251 |
$59K |
| 92083 |
|
1,752 |
1,686 |
$33K |
| 92133 |
|
2,347 |
2,255 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
474 |
464 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
524 |
509 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
261 |
243 |
$8K |
| 68761 |
|
97 |
95 |
$5K |
| 66982 |
|
29 |
24 |
$5K |
| 92250 |
|
348 |
338 |
$5K |
| 92235 |
|
123 |
117 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
430 |
409 |
$2K |
| 76514 |
|
387 |
372 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
113 |
100 |
$1K |
| 92025 |
|
56 |
55 |
$1K |
| 92020 |
|
38 |
38 |
$420.35 |
| 92015 |
Determination of refractive state |
13 |
12 |
$118.20 |
| 92285 |
|
27 |
24 |
$100.52 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
15 |
13 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
15 |
13 |
$0.00 |
| 99024 |
|
294 |
210 |
$0.00 |