| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
151 |
150 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
120 |
115 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
557 |
529 |
$11K |
| 92370 |
|
719 |
670 |
$5K |
| 92250 |
|
15 |
12 |
$160.93 |
| G9905 |
Patient not screened for tobacco use |
203 |
193 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
335 |
319 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
14 |
12 |
$0.00 |
| 1036F |
|
432 |
413 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
61 |
57 |
$0.00 |