| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,722 |
7,465 |
$377K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,940 |
2,922 |
$244K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,428 |
2,412 |
$169K |
| 92250 |
|
5,491 |
5,459 |
$131K |
| 92083 |
|
3,229 |
3,225 |
$115K |
| 92133 |
|
5,444 |
5,401 |
$110K |
| 76512 |
|
1,245 |
1,234 |
$53K |
| 92015 |
Determination of refractive state |
4,582 |
4,544 |
$51K |
| 92275 |
|
479 |
462 |
$35K |
| 92273 |
|
498 |
495 |
$32K |
| 76514 |
|
4,243 |
4,221 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,691 |
1,682 |
$22K |
| 92134 |
|
916 |
914 |
$21K |
| 92136 |
|
557 |
557 |
$18K |
| V2020 |
Frames, purchases |
514 |
511 |
$16K |
| 92285 |
|
1,054 |
1,048 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
200 |
$11K |
| 67820 |
|
485 |
432 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
112 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
625 |
335 |
$6K |
| 92020 |
|
298 |
297 |
$5K |
| 76516 |
|
141 |
134 |
$4K |
| 68110 |
|
14 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92341 |
|
30 |
30 |
$481.39 |
| 3008F |
|
313 |
310 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
325 |
304 |
$0.00 |
| 3074F |
|
127 |
122 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
27 |
27 |
$0.00 |
| 1036F |
|
93 |
92 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
269 |
261 |
$0.00 |
| 3078F |
|
143 |
139 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
81 |
80 |
$0.00 |
| 4004F |
|
14 |
14 |
$0.00 |