| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
989 |
907 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,437 |
1,366 |
$26K |
| 92250 |
|
1,063 |
1,017 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
333 |
$14K |
| 92134 |
|
1,464 |
1,416 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
136 |
134 |
$8K |
| 92226 |
|
1,119 |
960 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
375 |
352 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
159 |
156 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
80 |
66 |
$2K |
| 92083 |
|
66 |
63 |
$1K |
| 92201 |
|
154 |
148 |
$1K |
| 92202 |
|
164 |
156 |
$770.08 |
| 92225 |
|
79 |
69 |
$762.64 |
| 92235 |
|
27 |
24 |
$638.73 |
| 76512 |
|
12 |
12 |
$379.38 |
| 92002 |
|
12 |
12 |
$233.77 |
| 92285 |
|
12 |
12 |
$26.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,103 |
1,047 |
$0.00 |
| 4040F |
|
1,111 |
1,055 |
$0.00 |
| 92015 |
Determination of refractive state |
31 |
31 |
$0.00 |
| 2019F |
|
28 |
28 |
$0.00 |
| 1036F |
|
1,014 |
964 |
$0.00 |
| 4177F |
|
40 |
40 |
$0.00 |