| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
334 |
301 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
106 |
96 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
187 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
139 |
122 |
$3K |
| 92015 |
Determination of refractive state |
231 |
215 |
$3K |
| 92250 |
|
103 |
82 |
$2K |
| 92083 |
|
36 |
28 |
$829.48 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
24 |
$817.23 |
| 92134 |
|
31 |
26 |
$407.65 |
| 92284 |
|
12 |
12 |
$263.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
69 |
45 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
40 |
26 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
413 |
301 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
20 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
429 |
314 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
69 |
45 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
44 |
30 |
$0.00 |
| 1036F |
|
44 |
30 |
$0.00 |