| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
157 |
150 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
85 |
83 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$686.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$601.20 |
| 92015 |
Determination of refractive state |
293 |
286 |
$30.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
62 |
57 |
$0.00 |
| 1036F |
|
50 |
44 |
$0.00 |