| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,618 |
1,379 |
$120K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,048 |
943 |
$98K |
| 92250 |
|
1,350 |
1,224 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
360 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,342 |
1,165 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
744 |
727 |
$19K |
| 92567 |
|
445 |
400 |
$5K |
| 92342 |
|
609 |
607 |
$5K |
| 92370 |
|
682 |
568 |
$5K |
| 92015 |
Determination of refractive state |
850 |
724 |
$3K |
| 92587 |
|
101 |
88 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 67210 |
|
18 |
13 |
$1K |
| 92341 |
|
91 |
80 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 67820 |
|
74 |
73 |
$865.37 |
| 92557 |
|
27 |
24 |
$712.32 |
| 92134 |
|
19 |
15 |
$394.95 |
| 92133 |
|
13 |
13 |
$185.54 |
| 92286 |
|
15 |
15 |
$161.01 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,528 |
2,237 |
$87.45 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,844 |
3,445 |
$87.41 |
| 1036F |
|
3,230 |
2,894 |
$72.20 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,841 |
2,521 |
$72.20 |
| 76514 |
|
13 |
13 |
$20.00 |
| 3284F |
|
28 |
26 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
125 |
120 |
$0.00 |
| 3285F |
|
28 |
26 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
1,319 |
1,216 |
$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 |
129 |
116 |
$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) |
87 |
82 |
$0.00 |
| 3072F |
|
58 |
57 |
$0.00 |
| 2023F |
|
25 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,317 |
1,215 |
$0.00 |
| 2027F |
|
111 |
108 |
$0.00 |
| 2026F |
|
814 |
761 |
$0.00 |
| 2022F |
|
731 |
666 |
$0.00 |
| 2024F |
|
715 |
654 |
$0.00 |
| 4004F |
|
117 |
111 |
$0.00 |
| 5010F |
|
129 |
116 |
$0.00 |