| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
642 |
488 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
591 |
502 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
257 |
218 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
222 |
$3K |
| 92250 |
|
145 |
125 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$250.54 |
| 92136 |
|
25 |
25 |
$164.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$162.53 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,378 |
1,194 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
341 |
301 |
$0.00 |
| 1036F |
|
1,742 |
1,514 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
154 |
137 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
35 |
28 |
$0.00 |
| 4040F |
|
1,720 |
1,486 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,192 |
1,018 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
138 |
123 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,554 |
1,369 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,161 |
1,004 |
$0.00 |
| 2024F |
|
27 |
26 |
$0.00 |
| 2027F |
|
42 |
41 |
$0.00 |
| 0517F |
|
149 |
138 |
$0.00 |
| 2026F |
|
27 |
26 |
$0.00 |
| 2022F |
|
27 |
26 |
$0.00 |