| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,515 |
1,140 |
$75K |
| 92250 |
|
3,517 |
2,619 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,170 |
1,673 |
$48K |
| 92134 |
|
5,525 |
4,202 |
$43K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,601 |
852 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,539 |
1,185 |
$29K |
| 92226 |
|
1,218 |
764 |
$6K |
| 92235 |
|
12 |
12 |
$625.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$579.36 |
| 92201 |
|
146 |
112 |
$491.54 |
| 92225 |
|
37 |
26 |
$310.20 |
| 92202 |
|
37 |
31 |
$103.77 |
| 99072 |
|
402 |
295 |
$0.00 |
| 4040F |
|
250 |
191 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
139 |
108 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
298 |
213 |
$0.00 |
| 5010F |
|
46 |
38 |
$0.00 |
| 2024F |
|
48 |
40 |
$0.00 |
| 2026F |
|
48 |
40 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
12 |
$0.00 |
| 2022F |
|
48 |
40 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
193 |
147 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
111 |
87 |
$0.00 |
| 1036F |
|
220 |
160 |
$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 |
46 |
38 |
$0.00 |