| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,217 |
1,050 |
$91K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
991 |
842 |
$88K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,066 |
1,564 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
705 |
490 |
$20K |
| 92370 |
|
2,585 |
1,992 |
$15K |
| 92341 |
|
118 |
106 |
$2K |
| 92250 |
|
122 |
79 |
$2K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
48 |
41 |
$0.00 |
| 1036F |
|
36 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
104 |
85 |
$0.00 |