| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
628 |
591 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,456 |
1,420 |
$58K |
| 92134 |
|
2,725 |
2,535 |
$52K |
| 92202 |
|
1,761 |
1,693 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
239 |
237 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
166 |
160 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
91 |
$6K |
| 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) |
14 |
12 |
$0.00 |
| 4040F |
|
266 |
176 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
279 |
183 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
25 |
12 |
$0.00 |
| 1036F |
|
243 |
159 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
78 |
69 |
$0.00 |