| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
243 |
242 |
$13K |
| V2020 |
Frames, purchases |
282 |
277 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
141 |
138 |
$3K |
| 92002 |
|
45 |
45 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
272 |
267 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32 |
32 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
15 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |