| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$886.88 |
| 92015 |
Determination of refractive state |
14 |
14 |
$155.26 |
| 1036F |
|
124 |
117 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
80 |
73 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
25 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
254 |
234 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
72 |
70 |
$0.00 |
| 4040F |
|
276 |
257 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
13 |
12 |
$0.00 |