Thanks for your reply. I figured it out. I'll explain in case it helps someone else. I compared 2021 and 2022 by viewing the 2022 forms before submitting. I didn't know that was an option.
Both years used itemized deductions. Line 12A/12 were very different even though all income/deductions are fairly similar. Looking further I realized that the value shown on the insurance premiums screen with the sentence "Medicare premiums you already entered from SSA-1099s:" seemed very high. I went back to the Social Security Section and the value for Medicare Part B premium was incorrect. I have no idea how it had the number it did since it is nowhere on the SS statement and not similar in any way to the actual value. I corrected that number and the medical expenses are now in the ballpark of last year and the taxable income and refund seem reasonable.
Thanks again.
