| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,176 |
1,173 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
993 |
991 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
708 |
$51K |
| 92250 |
|
2,312 |
2,308 |
$49K |
| 92015 |
Determination of refractive state |
2,054 |
2,050 |
$23K |
| 92134 |
|
648 |
645 |
$15K |
| 92083 |
|
307 |
307 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
198 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
91 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
144 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$4K |
| 92136 |
|
12 |
12 |
$269.90 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,474 |
3,350 |
$0.00 |
| 1036F |
|
4,182 |
4,015 |
$0.00 |
| 3072F |
|
582 |
576 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
688 |
665 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
594 |
566 |
$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) |
576 |
541 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
13 |
13 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
79 |
78 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,543 |
4,364 |
$0.00 |
| 2024F |
|
632 |
622 |
$0.00 |
| 2022F |
|
934 |
921 |
$0.00 |
| 0517F |
|
1,176 |
1,163 |
$0.00 |
| 2026F |
|
937 |
924 |
$0.00 |
| 5010F |
|
82 |
81 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
841 |
813 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
3,713 |
3,562 |
$0.00 |
| 4040F |
|
3,674 |
3,512 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
685 |
662 |
$0.00 |
| 4004F |
|
669 |
629 |
$0.00 |
| 2027F |
|
25 |
25 |
$0.00 |
| 2021F |
|
54 |
54 |
$0.00 |