| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
114 |
$6K |
| 92015 |
Determination of refractive state |
176 |
146 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
148 |
114 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
84 |
53 |
$1K |
| 92250 |
|
18 |
12 |
$135.99 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
329 |
300 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 1036F |
|
296 |
267 |
$0.00 |