| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,188 |
1,174 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,227 |
1,997 |
$53K |
| 92250 |
|
2,179 |
2,136 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,156 |
1,148 |
$46K |
| 92136 |
|
897 |
880 |
$18K |
| 68761 |
|
87 |
42 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
61 |
$2K |
| 92015 |
Determination of refractive state |
356 |
355 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
55 |
$2K |
| 92225 |
|
278 |
142 |
$2K |
| 66821 |
|
17 |
14 |
$1K |
| 92226 |
|
29 |
15 |
$198.34 |
| 92020 |
|
12 |
12 |
$111.59 |
| 92134 |
|
15 |
15 |
$86.43 |
| 1036F |
|
4,092 |
3,724 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
632 |
602 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,871 |
3,527 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,430 |
3,175 |
$0.00 |
| 0517F |
|
366 |
340 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
24 |
24 |
$0.00 |