| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
822 |
790 |
$67K |
| 92015 |
Determination of refractive state |
1,197 |
1,143 |
$45K |
| V2020 |
Frames, purchases |
1,042 |
1,007 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
776 |
750 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
864 |
842 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
90 |
89 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92250 |
|
34 |
32 |
$752.48 |
| 1036F |
|
994 |
900 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
877 |
800 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
32 |
$0.00 |
| V2702 |
Deluxe lens feature |
13 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
38 |
37 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
709 |
651 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
746 |
672 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
41 |
38 |
$0.00 |