| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
719 |
704 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
404 |
394 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
357 |
315 |
$15K |
| 92250 |
|
116 |
115 |
$2K |
| 92015 |
Determination of refractive state |
170 |
165 |
$2K |
| 92083 |
|
14 |
13 |
$373.43 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
244 |
216 |
$0.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,759 |
1,579 |
$0.00 |
| 1036F |
|
1,937 |
1,740 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
144 |
134 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
709 |
647 |
$0.00 |
| 4040F |
|
2,387 |
2,123 |
$0.00 |
| 4004F |
|
98 |
90 |
$0.00 |