| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,425 |
1,404 |
$123K |
| 92250 |
|
2,180 |
2,154 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,044 |
2,024 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
680 |
665 |
$28K |
| 92015 |
Determination of refractive state |
3,630 |
3,583 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
310 |
310 |
$16K |
| 92083 |
|
190 |
187 |
$9K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
50 |
50 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$410.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
28 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
44 |
40 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
128 |
125 |
$0.00 |