| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
371 |
356 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
108 |
108 |
$12K |
| 92015 |
Determination of refractive state |
714 |
692 |
$9K |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
423 |
414 |
$0.00 |
| 1036F |
|
336 |
326 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
336 |
326 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
14 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
13 |
13 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
385 |
373 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |