| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,875 |
3,378 |
$207K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,046 |
1,766 |
$138K |
| V2020 |
Frames, purchases |
4,072 |
3,364 |
$62K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,162 |
1,849 |
$51K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,206 |
1,986 |
$27K |
| 92015 |
Determination of refractive state |
5,908 |
5,053 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
836 |
634 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,128 |
948 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
372 |
298 |
$10K |
| 92250 |
|
177 |
132 |
$3K |
| 92134 |
|
234 |
186 |
$2K |
| 92133 |
|
13 |
12 |
$208.39 |
| G8732 |
No documentation of pain assessment, reason not given |
37 |
32 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
36 |
31 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
326 |
248 |
$0.00 |