| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
787 |
751 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
529 |
495 |
$26K |
| 92083 |
|
680 |
648 |
$25K |
| 92015 |
Determination of refractive state |
795 |
753 |
$24K |
| 92250 |
|
627 |
600 |
$23K |
| 92275 |
|
149 |
147 |
$18K |
| 92226 |
|
379 |
187 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
138 |
134 |
$10K |
| 92225 |
|
145 |
71 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
33 |
32 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
28 |
26 |
$1K |
| 0509T |
|
32 |
31 |
$929.52 |
| 92020 |
|
34 |
26 |
$532.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
112 |
105 |
$0.01 |
| G9905 |
Patient not screened for tobacco use |
41 |
40 |
$0.00 |
| 1036F |
|
200 |
190 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
61 |
58 |
$0.00 |