| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,235 |
1,231 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
875 |
871 |
$63K |
| 92250 |
|
969 |
966 |
$50K |
| 92015 |
Determination of refractive state |
1,568 |
1,565 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
473 |
461 |
$24K |
| 92133 |
|
289 |
286 |
$9K |
| 92083 |
|
136 |
136 |
$7K |
| 92020 |
|
325 |
323 |
$5K |
| 92134 |
|
367 |
365 |
$5K |
| 92201 |
|
219 |
218 |
$2K |
| 92202 |
|
393 |
387 |
$2K |
| 92225 |
|
63 |
49 |
$2K |
| 76514 |
|
29 |
29 |
$185.98 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
101 |
95 |
$6.60 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
101 |
96 |
$1.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
180 |
171 |
$1.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| 1036F |
|
173 |
166 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
195 |
188 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
92 |
90 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21 |
21 |
$0.00 |