| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,632 |
1,545 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,776 |
1,557 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,674 |
1,489 |
$37K |
| 92083 |
|
1,129 |
1,068 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
375 |
351 |
$27K |
| 92250 |
|
866 |
830 |
$23K |
| V2020 |
Frames, purchases |
1,208 |
1,175 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
643 |
633 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
243 |
216 |
$7K |
| 92133 |
|
93 |
89 |
$1K |
| 92015 |
Determination of refractive state |
38 |
37 |
$839.80 |
| 92134 |
|
67 |
57 |
$547.15 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$360.31 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
15 |
$171.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
57 |
53 |
$0.00 |
| 2022F |
|
27 |
24 |
$0.00 |
| 1036F |
|
786 |
684 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
57 |
53 |
$0.00 |
| 3284F |
|
79 |
66 |
$0.00 |