| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
121 |
121 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
199 |
173 |
$5K |
| 92015 |
Determination of refractive state |
592 |
588 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
108 |
107 |
$3K |
| 92250 |
|
49 |
49 |
$2K |
| 92134 |
|
135 |
135 |
$2K |
| 92201 |
|
15 |
15 |
$87.46 |
| G8785 |
Blood pressure reading not documented, reason not given |
192 |
181 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
131 |
121 |
$0.00 |
| 5010F |
|
12 |
12 |
$0.00 |
| 1036F |
|
315 |
300 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
173 |
163 |
$0.00 |