| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,025 |
1,025 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,535 |
3,534 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
946 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
99 |
99 |
$586.51 |
| 92020 |
|
14 |
14 |
$61.97 |
| 2022F |
|
518 |
518 |
$60.00 |
| 2027F |
|
55 |
55 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
75 |
75 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
354 |
354 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,029 |
1,029 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
93 |
93 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
637 |
637 |
$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 |
42 |
42 |
$0.00 |
| 1036F |
|
2,248 |
2,246 |
$0.00 |
| 1123F |
|
1,029 |
1,029 |
$0.00 |
| 4177F |
|
16 |
16 |
$0.00 |