| Code | Description | Claims | Beneficiaries | Total Paid |
| 92341 |
|
1,179 |
1,136 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
801 |
665 |
$33K |
| 92015 |
Determination of refractive state |
1,321 |
1,272 |
$16K |
| V2020 |
Frames, purchases |
1,568 |
1,487 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
229 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
316 |
315 |
$12K |
| 1036F |
|
990 |
855 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
105 |
100 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,045 |
828 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
125 |
122 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
57 |
56 |
$2K |
| 92342 |
|
305 |
305 |
$697.15 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
61 |
54 |
$140.07 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
171 |
142 |
$117.45 |
| G9905 |
Patient not screened for tobacco use |
210 |
185 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
737 |
620 |
$0.00 |
| 2022F |
|
104 |
85 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
102 |
101 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
18 |
18 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
78 |
77 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
450 |
380 |
$0.00 |
| V2756 |
Eye glass case |
294 |
294 |
$0.00 |
| V2755 |
U-v lens, per lens |
615 |
588 |
$0.00 |
| 4177F |
|
16 |
16 |
$0.00 |