| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,592 |
1,587 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
721 |
700 |
$52K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
957 |
952 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
259 |
259 |
$24K |
| 92015 |
Determination of refractive state |
392 |
391 |
$6K |
| 1036F |
|
100 |
100 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
95 |
95 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
100 |
100 |
$0.00 |