| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,521 |
1,431 |
$116K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
694 |
649 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,572 |
1,500 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,818 |
1,758 |
$36K |
| 92370 |
|
2,752 |
2,645 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
368 |
$13K |
| 92341 |
|
596 |
560 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
455 |
445 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$1K |
| 92250 |
|
28 |
28 |
$493.93 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,259 |
1,226 |
$0.00 |
| 1036F |
|
1,313 |
1,280 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,085 |
1,039 |
$0.00 |