| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
925 |
870 |
$93K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,135 |
1,003 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
639 |
612 |
$44K |
| 92083 |
|
717 |
668 |
$21K |
| 92015 |
Determination of refractive state |
881 |
834 |
$12K |
| 92250 |
|
72 |
68 |
$3K |
| 92133 |
|
37 |
37 |
$944.15 |
| 1036F |
|
189 |
173 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
63 |
61 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
196 |
180 |
$0.00 |