| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
342 |
271 |
$383.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$153.78 |
| 92226 |
|
376 |
194 |
$113.40 |
| 92202 |
|
52 |
52 |
$29.82 |
| 1036F |
|
79 |
69 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
79 |
69 |
$0.00 |
| 4040F |
|
45 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
59 |
55 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
16 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |