| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,781 |
1,778 |
$80K |
| V2020 |
Frames, purchases |
3,153 |
3,147 |
$66K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
975 |
975 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,889 |
1,887 |
$39K |
| 92341 |
|
721 |
720 |
$21K |
| 92015 |
Determination of refractive state |
1,040 |
1,035 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
329 |
310 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$594.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$593.94 |
| 92250 |
|
12 |
12 |
$381.43 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |