| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
636 |
455 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
49 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
12 |
$970.14 |
| 92201 |
|
27 |
18 |
$295.36 |
| 92226 |
|
40 |
30 |
$240.00 |
| G8482 |
Influenza immunization administered or previously received |
79 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
85 |
84 |
$0.00 |
| 4004F |
|
64 |
64 |
$0.00 |