| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,192 |
1,131 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
857 |
825 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
520 |
507 |
$25K |
| 92015 |
Determination of refractive state |
1,703 |
1,447 |
$24K |
| V2020 |
Frames, purchases |
340 |
240 |
$6K |
| 92341 |
|
166 |
136 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
15 |
$952.20 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
35 |
13 |
$871.59 |
| 92202 |
|
62 |
62 |
$411.71 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
12 |
$333.80 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
255 |
255 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
37 |
37 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
185 |
185 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
260 |
260 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 2027F |
|
13 |
13 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
207 |
207 |
$0.00 |