| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
630 |
$75K |
| 92015 |
Determination of refractive state |
4,058 |
3,813 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
352 |
346 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
198 |
193 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
72 |
$6K |
| 92250 |
|
81 |
74 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| G9905 |
Patient not screened for tobacco use |
92 |
86 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,136 |
1,102 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
363 |
340 |
$0.00 |
| 1036F |
|
418 |
392 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
87 |
85 |
$0.00 |