| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
860 |
803 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
620 |
586 |
$74K |
| 92341 |
|
1,125 |
1,106 |
$41K |
| 92015 |
Determination of refractive state |
1,358 |
1,320 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
291 |
227 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
338 |
329 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$936.75 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
158 |
121 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
107 |
76 |
$0.00 |
| 1036F |
|
88 |
58 |
$0.00 |
| 1123F |
|
22 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
93 |
62 |
$0.00 |