| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,087 |
1,076 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
989 |
962 |
$51K |
| 92083 |
|
1,773 |
1,736 |
$47K |
| 92250 |
|
1,615 |
1,581 |
$41K |
| 92015 |
Determination of refractive state |
2,117 |
2,094 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
240 |
$19K |
| 92020 |
|
1,315 |
1,275 |
$16K |
| 92133 |
|
486 |
476 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$3K |
| 92136 |
|
13 |
12 |
$345.31 |
| V2020 |
Frames, purchases |
27 |
27 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
445 |
431 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
339 |
324 |
$0.00 |
| 1036F |
|
79 |
76 |
$0.00 |
| 2023F |
|
65 |
65 |
$0.00 |