| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
263 |
208 |
$1K |
| 92134 |
|
677 |
580 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$186.30 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
109 |
76 |
$157.97 |
| 4040F |
|
397 |
349 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
218 |
201 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
298 |
250 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
618 |
543 |
$0.00 |
| 1036F |
|
392 |
334 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
305 |
286 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |