| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,196 |
3,043 |
$191K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,502 |
1,434 |
$113K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,427 |
5,216 |
$91K |
| 92015 |
Determination of refractive state |
5,833 |
5,598 |
$47K |
| 92250 |
|
491 |
470 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
89 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$713.00 |
| G8732 |
No documentation of pain assessment, reason not given |
15 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
28 |
26 |
$0.00 |