| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,139 |
1,122 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
295 |
286 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
127 |
$7K |
| 92015 |
Determination of refractive state |
49 |
49 |
$532.51 |
| 92225 |
|
21 |
16 |
$302.29 |
| 92201 |
|
13 |
13 |
$99.68 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
66 |
65 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
65 |
64 |
$0.00 |