| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
441 |
428 |
$12K |
| 92015 |
Determination of refractive state |
546 |
546 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
246 |
231 |
$2K |
| 92083 |
|
238 |
116 |
$68.56 |
| 92134 |
|
194 |
96 |
$60.14 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
114 |
109 |
$32.61 |
| 92133 |
|
48 |
24 |
$24.42 |
| 1036F |
|
71 |
69 |
$0.05 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
128 |
126 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
58 |
56 |
$0.01 |
| 2027F |
|
13 |
13 |
$0.00 |