| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
279 |
236 |
$12K |
| 92015 |
Determination of refractive state |
390 |
342 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
268 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
137 |
119 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
93 |
79 |
$3K |
| 92285 |
|
26 |
12 |
$713.83 |
| 92083 |
|
13 |
12 |
$448.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
200 |
171 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
36 |
33 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
64 |
51 |
$0.00 |