| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
67 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
115 |
103 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
300 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
87 |
$2K |
| 92015 |
Determination of refractive state |
280 |
185 |
$780.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
18 |
$266.92 |
| 4040F |
|
227 |
159 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
841 |
542 |
$0.01 |
| 2022F |
|
20 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
13 |
$0.00 |
| 1036F |
|
87 |
67 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
52 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
88 |
68 |
$0.00 |