| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
530 |
276 |
$10K |
| 92134 |
|
211 |
76 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92015 |
Determination of refractive state |
13 |
13 |
$180.28 |
| 1036F |
|
106 |
100 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 1124F |
|
99 |
95 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
61 |
57 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
28 |
28 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
76 |
72 |
$0.00 |
| 4040F |
|
102 |
87 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |