| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
868 |
843 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
115 |
$9K |
| 92015 |
Determination of refractive state |
65 |
65 |
$1K |
| 92133 |
|
25 |
24 |
$567.70 |
| 92020 |
|
12 |
12 |
$265.68 |
| 1036F |
|
236 |
229 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
242 |
235 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
279 |
270 |
$0.00 |