| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
900 |
762 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
343 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
91 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
323 |
242 |
$4K |
| 92133 |
|
68 |
64 |
$1K |
| 92083 |
|
30 |
25 |
$952.85 |
| 92250 |
|
108 |
91 |
$524.49 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
35 |
34 |
$436.48 |
| 92370 |
|
37 |
36 |
$157.30 |
| 76514 |
|
15 |
14 |
$87.61 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
609 |
487 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
27 |
$0.00 |
| 68761 |
|
19 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
61 |
52 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
22 |
20 |
$0.00 |
| 92015 |
Determination of refractive state |
18 |
13 |
$0.00 |
| 92283 |
|
568 |
474 |
$0.00 |
| 1036F |
|
583 |
465 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
537 |
424 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
25 |
$0.00 |