| Code | Description | Claims | Beneficiaries | Total Paid |
| 65778 |
|
1,018 |
740 |
$1.74M |
| 92250 |
|
2,797 |
1,446 |
$220K |
| 68761 |
|
1,961 |
759 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,720 |
1,503 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
833 |
757 |
$87K |
| 92083 |
|
1,012 |
443 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
813 |
743 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
570 |
520 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
372 |
346 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
374 |
$33K |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
145 |
115 |
$5K |
| 92225 |
|
252 |
193 |
$4K |
| 92015 |
Determination of refractive state |
586 |
470 |
$1K |
| 92133 |
|
22 |
13 |
$829.62 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
128 |
113 |
$25.50 |
| G8732 |
No documentation of pain assessment, reason not given |
81 |
60 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
80 |
59 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
16 |
12 |
$0.00 |
| 65779 |
|
45 |
28 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
19 |
12 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
16 |
12 |
$0.00 |