| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
161 |
135 |
$7K |
| 92015 |
Determination of refractive state |
359 |
303 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
26 |
$829.98 |
| 92250 |
|
27 |
12 |
$290.29 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
27 |
24 |
$0.00 |