| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,303 |
3,890 |
$115K |
| 92134 |
|
1,798 |
1,586 |
$45K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
349 |
276 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
779 |
715 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
125 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
55 |
$3K |
| 92083 |
|
54 |
49 |
$2K |
| 99253 |
|
12 |
12 |
$819.10 |
| 92201 |
|
94 |
81 |
$739.47 |
| 92133 |
|
29 |
26 |
$721.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$648.12 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
32 |
30 |
$612.85 |
| 92250 |
|
13 |
13 |
$516.46 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$435.54 |
| 92015 |
Determination of refractive state |
37 |
37 |
$418.76 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
87 |
83 |
$0.00 |
| 0517F |
|
20 |
20 |
$0.00 |
| 3284F |
|
12 |
12 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
31 |
29 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
44 |
43 |
$0.00 |
| 1036F |
|
44 |
43 |
$0.00 |
| 3285F |
|
12 |
12 |
$0.00 |
| 92060 |
|
12 |
12 |
$0.00 |