| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
5,235 |
4,802 |
$418K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,673 |
2,466 |
$257K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,427 |
6,342 |
$121K |
| 92370 |
|
7,752 |
7,627 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
662 |
620 |
$18K |
| 92341 |
|
671 |
652 |
$15K |
| 92250 |
|
326 |
270 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
90 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
29 |
$1K |
| 92015 |
Determination of refractive state |
69 |
63 |
$1K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
192 |
188 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
297 |
284 |
$0.00 |
| 4004F |
|
14 |
14 |
$0.00 |
| 1036F |
|
350 |
336 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
178 |
176 |
$0.00 |