| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,232 |
1,000 |
$96K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,051 |
869 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
766 |
667 |
$13K |
| 92370 |
|
1,094 |
953 |
$7K |
| 92341 |
|
80 |
64 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
13 |
$773.12 |
| 92015 |
Determination of refractive state |
64 |
57 |
$731.58 |
| 92250 |
|
15 |
13 |
$95.44 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| 1036F |
|
179 |
175 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |