| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,208 |
837 |
$303K |
| J0178 |
Injection, aflibercept, 1 mg |
463 |
330 |
$162K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,098 |
4,218 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,631 |
4,459 |
$106K |
| 92235 |
|
4,885 |
4,759 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,864 |
3,797 |
$69K |
| 92134 |
|
4,228 |
4,099 |
$54K |
| 92250 |
|
2,603 |
2,534 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,095 |
772 |
$31K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
62 |
39 |
$27K |
| 92201 |
|
2,238 |
2,165 |
$12K |
| 92226 |
|
4,103 |
2,138 |
$3K |
| 92202 |
|
640 |
619 |
$2K |
| 92020 |
|
453 |
395 |
$2K |
| 00142 |
|
46 |
41 |
$948.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
40 |
$741.71 |
| 92025 |
|
52 |
52 |
$506.13 |
| 92083 |
|
28 |
28 |
$464.68 |
| 92242 |
|
12 |
12 |
$305.20 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$287.71 |
| 92133 |
|
13 |
13 |
$284.85 |
| J7999 |
Compounded drug, not otherwise classified |
202 |
128 |
$223.54 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$165.38 |
| CP003 |
|
16 |
12 |
$156.80 |
| 92136 |
|
25 |
13 |
$156.70 |
| 92145 |
|
120 |
119 |
$135.48 |
| 92285 |
|
13 |
12 |
$106.45 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
77 |
72 |
$0.00 |
| 1036F |
|
69 |
65 |
$0.00 |
| G9367 |
At least two orders for high-risk medications from the same drug class |
26 |
24 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
15 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
138 |
128 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
28 |
26 |
$0.00 |