| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,346 |
2,254 |
$35K |
| 99336 |
|
237 |
224 |
$24K |
| 99349 |
|
136 |
113 |
$10K |
| 99326 |
|
14 |
14 |
$2K |
| V2020 |
Frames, purchases |
348 |
341 |
$745.30 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
17 |
$240.01 |
| 92341 |
|
147 |
140 |
$232.50 |
| 92250 |
|
261 |
218 |
$27.59 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
32 |
31 |
$0.00 |
| 92285 |
|
144 |
127 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
52 |
51 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
210 |
196 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
47 |
46 |
$0.00 |