| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
963 |
915 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
422 |
$23K |
| 76512 |
|
482 |
374 |
$18K |
| 92134 |
|
820 |
779 |
$16K |
| 92286 |
|
410 |
391 |
$15K |
| 92082 |
|
342 |
341 |
$11K |
| 92285 |
|
757 |
715 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
308 |
292 |
$7K |
| 92060 |
|
225 |
224 |
$7K |
| V2020 |
Frames, purchases |
305 |
302 |
$6K |
| 92132 |
|
614 |
586 |
$6K |
| 76514 |
|
644 |
615 |
$3K |
| 92025 |
|
414 |
391 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
252 |
238 |
$1K |
| 92145 |
|
153 |
145 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$955.40 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$625.15 |
| 92015 |
Determination of refractive state |
73 |
73 |
$613.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$351.41 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$292.12 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
114 |
110 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
146 |
142 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
101 |
98 |
$0.00 |