| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
382 |
278 |
$29K |
| 92015 |
Determination of refractive state |
816 |
570 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
26 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
25 |
$816.29 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
33 |
12 |
$0.00 |