| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
1,131 |
871 |
$22K |
| 92015 |
Determination of refractive state |
1,421 |
1,128 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
909 |
691 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
307 |
219 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
172 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
378 |
274 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$485.51 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
96 |
92 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
55 |
53 |
$0.00 |
| 1036F |
|
80 |
74 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
34 |
$0.00 |