| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
420 |
367 |
$54K |
| 68761 |
|
129 |
103 |
$16K |
| 67299 |
|
314 |
216 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
174 |
$10K |
| 65400 |
|
13 |
13 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
241 |
$9K |
| 68840 |
|
133 |
103 |
$8K |
| 92273 |
|
69 |
55 |
$6K |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
71 |
63 |
$4.52 |
| 5010F |
|
65 |
64 |
$0.00 |
| 92134 |
|
496 |
397 |
$0.00 |
| 92015 |
Determination of refractive state |
523 |
454 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
209 |
180 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
290 |
257 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
143 |
134 |
$0.00 |
| 1036F |
|
288 |
257 |
$0.00 |
| 92285 |
|
38 |
24 |
$0.00 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
50 |
50 |
$0.00 |