| Code | Description | Claims | Beneficiaries | Total Paid |
| 68761 |
|
6,709 |
1,674 |
$198K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,167 |
3,732 |
$82K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
999 |
951 |
$33K |
| 92020 |
|
1,908 |
1,812 |
$22K |
| 92083 |
|
636 |
608 |
$19K |
| 92133 |
|
700 |
658 |
$12K |
| 92015 |
Determination of refractive state |
714 |
647 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
68 |
$6K |
| 76514 |
|
903 |
848 |
$5K |
| 83861 |
|
441 |
321 |
$4K |
| 92225 |
|
323 |
157 |
$3K |
| 67820 |
|
298 |
237 |
$3K |
| A4550 |
Surgical trays |
277 |
249 |
$2K |
| 92134 |
|
144 |
139 |
$2K |
| 1036F |
|
664 |
540 |
$582.47 |
| 2027F |
|
568 |
452 |
$554.53 |
| 92202 |
|
42 |
39 |
$211.30 |
| 99072 |
|
63 |
58 |
$53.06 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
543 |
448 |
$0.00 |
| 0517F |
|
569 |
453 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
364 |
283 |
$0.00 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
57 |
55 |
$0.00 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
1,310 |
1,132 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
120 |
109 |
$0.00 |