| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,831 |
1,722 |
$201K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
925 |
882 |
$82K |
| 92015 |
Determination of refractive state |
3,983 |
3,732 |
$58K |
| 92250 |
|
1,411 |
1,329 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
235 |
230 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$779.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
213 |
197 |
$0.00 |
| 1036F |
|
934 |
867 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
319 |
298 |
$0.00 |