| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
404 |
$28K |
| 92015 |
Determination of refractive state |
456 |
398 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
18 |
$0.00 |
| 1036F |
|
20 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
15 |
$0.00 |