| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
278 |
276 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
210 |
210 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
140 |
140 |
$6K |
| 92015 |
Determination of refractive state |
347 |
344 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$767.16 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$291.15 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
250 |
247 |
$0.00 |
| 1036F |
|
261 |
257 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
50 |
50 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
26 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
335 |
331 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
25 |
25 |
$0.00 |