| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,562 |
1,553 |
$109K |
| 92340 |
|
3,415 |
3,362 |
$68K |
| V2020 |
Frames, purchases |
1,857 |
1,821 |
$57K |
| 92015 |
|
3,654 |
3,599 |
$41K |
| 92004 |
|
224 |
224 |
$19K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
352 |
349 |
$17K |
| 92341 |
|
683 |
681 |
$16K |
| 99213 |
|
377 |
346 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,321 |
1,094 |
$14K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
275 |
260 |
$12K |
| 99214 |
|
150 |
148 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
349 |
301 |
$3K |
| 92012 |
|
13 |
12 |
$462.92 |
| 1036F |
|
1,111 |
1,085 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
329 |
322 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,272 |
1,250 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
27 |
27 |
$0.00 |