| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92242 |
|
1,349 |
1,349 |
$301K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,302 |
3,252 |
$291K |
| 92287 |
|
1,441 |
1,440 |
$191K |
| 92134 |
|
5,188 |
4,922 |
$173K |
| 92273 |
|
1,446 |
1,446 |
$139K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
680 |
666 |
$51K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
543 |
484 |
$48K |
| 92226 |
|
1,687 |
1,189 |
$48K |
| 67228 |
|
142 |
116 |
$47K |
| 92202 |
|
2,789 |
2,649 |
$34K |
| 76512 |
|
588 |
357 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
254 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
514 |
460 |
$26K |
| 92082 |
|
595 |
595 |
$20K |
| 92250 |
|
432 |
383 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
50 |
50 |
$6K |
| 92201 |
|
229 |
218 |
$5K |
| 92225 |
|
97 |
71 |
$3K |
| 95919 |
|
332 |
331 |
$3K |
| 92235 |
|
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$841.70 |
| 92083 |
|
12 |
12 |
$598.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,752 |
4,099 |
$30.84 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,493 |
2,088 |
$11.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,760 |
4,041 |
$10.38 |
| 1036F |
|
3,404 |
2,889 |
$10.37 |
| G8482 |
Influenza immunization administered or previously received |
561 |
464 |
$5.97 |
| 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) |
626 |
531 |
$4.40 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
41 |
37 |
$4.40 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
1,460 |
1,181 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
233 |
200 |
$0.00 |
| 2021F |
|
1,140 |
930 |
$0.00 |
| 2026F |
|
1,466 |
1,191 |
$0.00 |
| 5010F |
|
1,194 |
968 |
$0.00 |
| 2024F |
|
1,431 |
1,166 |
$0.00 |
| 4040F |
|
58 |
54 |
$0.00 |
| 2022F |
|
1,428 |
1,164 |
$0.00 |