| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
223 |
222 |
$4K |
| 92226 |
|
142 |
141 |
$653.06 |
| 92202 |
|
216 |
215 |
$328.42 |
| 4004F |
|
63 |
62 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
41 |
39 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
63 |
62 |
$0.00 |