| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
220 |
$11K |
| 92134 |
|
917 |
783 |
$8K |
| 92015 |
Determination of refractive state |
438 |
378 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
83 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
84 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
86 |
$3K |
| 92226 |
|
256 |
125 |
$2K |
| 92202 |
|
217 |
198 |
$1K |
| 92002 |
|
30 |
27 |
$739.54 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
18 |
12 |
$582.54 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$392.26 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
340 |
314 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
154 |
144 |
$0.00 |
| 1036F |
|
208 |
189 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
16 |
14 |
$0.00 |