| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,822 |
3,483 |
$269K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,402 |
1,340 |
$139K |
| V2020 |
Frames, purchases |
3,763 |
3,445 |
$106K |
| 92015 |
Determination of refractive state |
5,924 |
5,444 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,842 |
3,520 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,518 |
1,392 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
740 |
707 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
913 |
906 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
162 |
119 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
58 |
57 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
446 |
431 |
$409.45 |
| 92250 |
|
30 |
25 |
$320.68 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
301 |
294 |
$66.66 |
| G8785 |
Blood pressure reading not documented, reason not given |
44 |
42 |
$0.00 |