| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,503 |
3,500 |
$468K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,209 |
2,851 |
$242K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,150 |
2,150 |
$242K |
| 92250 |
|
3,371 |
3,361 |
$123K |
| 92136 |
|
747 |
739 |
$29K |
| 92015 |
Determination of refractive state |
2,015 |
2,014 |
$23K |
| 68761 |
|
153 |
86 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$10K |
| 92225 |
|
344 |
213 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
44 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$3K |
| 92202 |
|
12 |
12 |
$223.80 |
| 76514 |
|
14 |
14 |
$145.22 |
| 2022F |
|
69 |
65 |
$30.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
2,250 |
2,169 |
$2.56 |
| 1036F |
|
6,062 |
5,599 |
$2.56 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,889 |
8,207 |
$2.56 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,889 |
6,443 |
$0.00 |
| 0517F |
|
228 |
217 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |
| 2024F |
|
41 |
37 |
$0.00 |
| 2026F |
|
41 |
37 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
33 |
28 |
$0.00 |