| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92015 |
Determination of refractive state |
30 |
24 |
$203.88 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$41.09 |
| G8785 |
Blood pressure reading not documented, reason not given |
28 |
26 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
32 |
28 |
$0.00 |
| 1036F |
|
30 |
27 |
$0.00 |