| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,811 |
3,776 |
$167K |
| 92012 |
|
3,273 |
2,246 |
$124K |
| 92004 |
|
1,325 |
1,320 |
$92K |
| 68761 |
|
2,295 |
1,216 |
$90K |
| 92083 |
|
1,557 |
1,536 |
$62K |
| 92250 |
|
1,183 |
1,180 |
$43K |
| 92060 |
|
1,244 |
1,239 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
734 |
380 |
$15K |
| V2020 |
Frames, purchases |
699 |
693 |
$9K |
| 92065 |
|
375 |
170 |
$8K |
| 68040 |
|
313 |
308 |
$2K |
| 92202 |
|
148 |
144 |
$852.46 |
| 92226 |
|
85 |
81 |
$628.10 |
| 99213 |
|
18 |
18 |
$249.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25 |
13 |
$6.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
59 |
54 |
$0.00 |
| 1036F |
|
87 |
82 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
85 |
81 |
$0.00 |