| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,206 |
1,200 |
$120K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,419 |
1,250 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
196 |
196 |
$27K |
| 92250 |
|
430 |
429 |
$13K |
| 92083 |
|
15 |
15 |
$1K |
| 92015 |
Determination of refractive state |
81 |
80 |
$886.87 |
| 92020 |
|
12 |
12 |
$297.47 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,047 |
1,901 |
$0.36 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,875 |
1,716 |
$0.00 |
| 0517F |
|
129 |
123 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
13 |
12 |
$0.00 |
| 1036F |
|
1,413 |
1,307 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,983 |
1,819 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
13 |
12 |
$0.00 |