| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
2,082 |
1,609 |
$41K |
| 92015 |
|
1,819 |
1,448 |
$28K |
| 99204 |
|
254 |
193 |
$9K |
| 92014 |
|
146 |
127 |
$7K |
| 92340 |
|
262 |
238 |
$7K |
| 99214 |
|
228 |
179 |
$6K |
| V2020 |
Frames, purchases |
192 |
173 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
142 |
127 |
$2K |
| 92004 |
|
14 |
12 |
$1K |
| 99203 |
|
17 |
14 |
$769.17 |
| 92083 |
|
34 |
24 |
$532.25 |
| 92133 |
|
31 |
26 |
$364.65 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
23 |
14 |
$360.00 |
| 92012 |
|
18 |
15 |
$194.39 |
| G8785 |
Blood pressure reading not documented, reason not given |
15 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
48 |
40 |
$0.00 |
| 1036F |
|
47 |
39 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
18 |
15 |
$0.00 |