| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
395 |
380 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
306 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
128 |
116 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
171 |
$5K |
| 92015 |
Determination of refractive state |
441 |
383 |
$3K |
| 92083 |
|
32 |
24 |
$900.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
30 |
$632.32 |
| 1036F |
|
30 |
26 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
30 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
28 |
$0.00 |
| 4040F |
|
120 |
85 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
784 |
614 |
$0.00 |
| 2022F |
|
49 |
40 |
$0.00 |