| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
118 |
118 |
$10K |
| 92015 |
Determination of refractive state |
340 |
337 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
124 |
124 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$613.01 |
| 1036F |
|
91 |
86 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
13 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |
| 1159F |
|
153 |
146 |
$0.00 |
| 1160F |
|
217 |
210 |
$0.00 |
| 3078F |
|
45 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
15 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
64 |
60 |
$0.00 |