| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,664 |
2,795 |
$232K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,849 |
5,709 |
$96K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
827 |
638 |
$66K |
| 92370 |
|
6,908 |
6,741 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
359 |
$23K |
| 92133 |
|
344 |
250 |
$7K |
| 92341 |
|
236 |
231 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
128 |
$5K |
| 92250 |
|
411 |
284 |
$4K |
| 92015 |
Determination of refractive state |
50 |
37 |
$570.82 |
| 92285 |
|
83 |
67 |
$245.38 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
12 |
$159.62 |
| 4040F |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
12 |
$0.00 |