| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,312 |
3,106 |
$207K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,967 |
2,649 |
$136K |
| 92015 |
Determination of refractive state |
6,916 |
6,365 |
$57K |
| V2799 |
Vision item or service, miscellaneous |
507 |
493 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
905 |
863 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
123 |
$4K |
| 92250 |
|
18 |
13 |
$23.76 |
| V2020 |
Frames, purchases |
118 |
117 |
$15.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
39 |
39 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
160 |
145 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
14 |
14 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
49 |
27 |
$0.00 |