| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
38 |
38 |
$3K |
| 92370 |
|
239 |
225 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
40 |
$916.50 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
30 |
25 |
$533.96 |
| 92341 |
|
15 |
14 |
$331.68 |
| 92133 |
|
16 |
12 |
$135.34 |
| 92250 |
|
41 |
27 |
$79.50 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
294 |
271 |
$0.00 |
| 1036F |
|
317 |
294 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
268 |
243 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |