| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
661 |
627 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
488 |
480 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
82 |
77 |
$3K |
| 92015 |
Determination of refractive state |
328 |
317 |
$3K |
| 92250 |
|
96 |
88 |
$3K |
| 67820 |
|
97 |
91 |
$2K |
| 92226 |
|
44 |
30 |
$1K |
| 92082 |
|
33 |
28 |
$758.30 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$520.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$516.00 |
| 1036F |
|
144 |
135 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
148 |
140 |
$0.00 |
| 2027F |
|
14 |
13 |
$0.00 |