| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
924 |
759 |
$28K |
| V2020 |
Frames, purchases |
606 |
506 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
154 |
138 |
$8K |
| 92015 |
Determination of refractive state |
575 |
471 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
197 |
147 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
42 |
$887.08 |
| 92250 |
|
27 |
25 |
$369.12 |
| 92083 |
|
38 |
36 |
$316.66 |
| 92134 |
|
26 |
25 |
$131.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
88 |
75 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
15 |
15 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
126 |
106 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
368 |
264 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
331 |
237 |
$0.00 |
| 1036F |
|
301 |
209 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
48 |
44 |
$0.00 |