| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,256 |
1,218 |
$78K |
| 92015 |
Determination of refractive state |
3,621 |
3,493 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,146 |
1,114 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
239 |
231 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$214.61 |
| 1036F |
|
12 |
12 |
$0.00 |
| 3072F |
|
613 |
606 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |