| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
910 |
884 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
319 |
316 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
464 |
460 |
$7K |
| 92015 |
Determination of refractive state |
1,377 |
1,355 |
$5K |
| V2020 |
Frames, purchases |
74 |
74 |
$4K |
| 2022F |
|
57 |
57 |
$300.00 |
| 2024F |
|
58 |
57 |
$30.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
297 |
286 |
$0.00 |
| 3284F |
|
47 |
46 |
$0.00 |
| V2755 |
U-v lens, per lens |
28 |
28 |
$0.00 |
| 3072F |
|
13 |
12 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
24 |
24 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
13 |
$0.00 |
| 4177F |
|
16 |
15 |
$0.00 |
| 4040F |
|
225 |
209 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
308 |
296 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
206 |
198 |
$0.00 |
| 0517F |
|
32 |
31 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
17 |
16 |
$0.00 |
| 5010F |
|
17 |
16 |
$0.00 |
| 2026F |
|
17 |
16 |
$0.00 |
| 92341 |
|
24 |
24 |
$0.00 |
| 2027F |
|
32 |
31 |
$0.00 |