| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
638 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
177 |
177 |
$5K |
| 92250 |
|
38 |
38 |
$452.05 |
| 92020 |
|
39 |
39 |
$402.45 |
| 92015 |
Determination of refractive state |
96 |
96 |
$178.36 |
| 92083 |
|
30 |
30 |
$117.20 |
| 92133 |
|
27 |
27 |
$76.04 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
171 |
170 |
$0.00 |
| 1036F |
|
218 |
216 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
219 |
217 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
159 |
157 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
241 |
239 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
183 |
182 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
176 |
174 |
$0.00 |
| 4040F |
|
137 |
135 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
92 |
92 |
$0.00 |
| V2020 |
Frames, purchases |
37 |
37 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
45 |
44 |
$0.00 |
| 1124F |
|
42 |
41 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$0.00 |