| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
214 |
212 |
$5K |
| 92226 |
|
279 |
247 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
134 |
125 |
$2K |
| 92201 |
|
191 |
178 |
$925.80 |
| 92015 |
Determination of refractive state |
44 |
44 |
$586.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$26.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
115 |
104 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
66 |
61 |
$0.00 |
| 4040F |
|
97 |
86 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
119 |
108 |
$0.00 |
| 1036F |
|
119 |
108 |
$0.00 |