| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,030 |
1,028 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,563 |
1,556 |
$31K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
240 |
240 |
$11K |
| 92341 |
|
289 |
288 |
$7K |
| 92015 |
Determination of refractive state |
463 |
458 |
$5K |
| V2020 |
Frames, purchases |
65 |
64 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
38 |
$1K |
| 92250 |
|
37 |
36 |
$380.68 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |