| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
507 |
503 |
$50K |
| V2020 |
Frames, purchases |
371 |
356 |
$24K |
| 92015 |
Determination of refractive state |
1,350 |
1,283 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
389 |
371 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
110 |
91 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$849.16 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
252 |
249 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
575 |
535 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,283 |
1,204 |
$0.00 |
| 1036F |
|
31 |
30 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
12 |
$0.00 |