| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,985 |
2,927 |
$170K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,537 |
3,417 |
$169K |
| 92015 |
Determination of refractive state |
638 |
615 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
188 |
177 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
122 |
$4K |
| 92250 |
|
49 |
46 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$918.82 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$315.64 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
95 |
87 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
134 |
126 |
$0.00 |