| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,660 |
1,575 |
$132K |
| V2020 |
Frames, purchases |
1,548 |
1,445 |
$91K |
| V2199 |
Not otherwise classified, single vision lens |
1,242 |
1,148 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
416 |
402 |
$46K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
777 |
727 |
$39K |
| 92015 |
Determination of refractive state |
2,937 |
2,714 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
25 |
$544.06 |
| G8482 |
Influenza immunization administered or previously received |
92 |
83 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
299 |
281 |
$0.00 |
| G9904 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
25 |
24 |
$0.00 |
| 4040F |
|
191 |
180 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
13 |
12 |
$0.00 |
| 1036F |
|
205 |
196 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
140 |
135 |
$0.00 |