| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
65 |
65 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
278 |
278 |
$66.00 |
| 92134 |
|
162 |
162 |
$62.76 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
190 |
186 |
$52.46 |
| 92250 |
|
247 |
247 |
$40.00 |
| 92226 |
|
537 |
274 |
$32.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
64 |
$20.38 |
| 92225 |
|
28 |
14 |
$16.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
34 |
$15.92 |
| 1036F |
|
494 |
482 |
$0.00 |
| 4177F |
|
291 |
287 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
185 |
183 |
$0.00 |
| 3072F |
|
54 |
54 |
$0.00 |
| 3284F |
|
287 |
280 |
$0.00 |
| 3285F |
|
39 |
39 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
256 |
254 |
$0.00 |
| 2019F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
745 |
732 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
244 |
240 |
$0.00 |
| 0517F |
|
287 |
280 |
$0.00 |
| 2027F |
|
288 |
281 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
142 |
141 |
$0.00 |
| 2022F |
|
108 |
105 |
$0.00 |
| 92083 |
|
104 |
104 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
26 |
26 |
$0.00 |
| 92133 |
|
63 |
63 |
$0.00 |