| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
749 |
542 |
$33K |
| 92250 |
|
1,074 |
757 |
$18K |
| 83861 |
|
1,800 |
697 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
132 |
$13K |
| 92015 |
Determination of refractive state |
516 |
423 |
$6K |
| 92285 |
|
100 |
85 |
$1K |
| 92083 |
|
49 |
36 |
$762.98 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$577.55 |
| 92136 |
|
17 |
12 |
$412.66 |
| 92025 |
|
16 |
13 |
$359.90 |
| 1036F |
|
459 |
260 |
$12.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
448 |
251 |
$9.04 |
| 4040F |
|
466 |
262 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
439 |
243 |
$0.00 |
| M1065 |
Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
72 |
42 |
$0.00 |