| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
714 |
691 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
951 |
913 |
$63K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
785 |
686 |
$37K |
| 92134 |
|
1,411 |
1,356 |
$35K |
| 92015 |
Determination of refractive state |
909 |
875 |
$10K |
| 92083 |
|
61 |
57 |
$2K |
| 92133 |
|
41 |
41 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
651 |
574 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
103 |
91 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
105 |
91 |
$0.00 |
| 1036F |
|
525 |
467 |
$0.00 |
| 3072F |
|
21 |
21 |
$0.00 |