| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
150 |
131 |
$10K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
145 |
92 |
$9K |
| 92370 |
|
517 |
432 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
292 |
238 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
18 |
$851.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$338.35 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,061 |
597 |
$0.00 |
| 1036F |
|
1,283 |
707 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
29 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
144 |
81 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,398 |
733 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
29 |
13 |
$0.00 |