| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
268 |
266 |
$19K |
| V2020 |
Frames, purchases |
664 |
565 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
600 |
511 |
$12K |
| 92015 |
Determination of refractive state |
843 |
707 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
268 |
232 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
61 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
104 |
71 |
$3K |
| 1036F |
|
924 |
764 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
558 |
481 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
371 |
321 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
29 |
26 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
233 |
161 |
$0.00 |