| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
313 |
308 |
$38K |
| 92015 |
Determination of refractive state |
1,038 |
955 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
99 |
97 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
103 |
$4K |
| 1036F |
|
12 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
36 |
33 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
16 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24 |
24 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
16 |
15 |
$0.00 |