| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,279 |
2,271 |
$194K |
| 92002 |
|
1,335 |
1,334 |
$110K |
| V2020 |
Frames, purchases |
89 |
89 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
51 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$793.09 |
| 92015 |
Determination of refractive state |
1,158 |
1,158 |
$347.40 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
843 |
758 |
$0.00 |
| 1036F |
|
30 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
909 |
821 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
130 |
111 |
$0.00 |