| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
754 |
736 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
665 |
649 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
412 |
393 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,772 |
1,326 |
$17K |
| 92002 |
|
192 |
185 |
$10K |
| 92015 |
Determination of refractive state |
1,345 |
1,231 |
$7K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
170 |
155 |
$0.00 |
| 3072F |
|
24 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
73 |
64 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
774 |
687 |
$0.00 |