| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
996 |
964 |
$46K |
| V2020 |
Frames, purchases |
736 |
722 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
413 |
408 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
220 |
$19K |
| 92060 |
|
338 |
334 |
$11K |
| 92015 |
Determination of refractive state |
1,638 |
1,598 |
$9K |
| 92250 |
|
142 |
139 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
46 |
42 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
21 |
20 |
$846.77 |
| 1036F |
|
1,162 |
1,128 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
234 |
227 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,125 |
1,094 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
42 |
41 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
795 |
773 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
59 |
57 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
25 |
25 |
$0.00 |