| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
317 |
307 |
$15K |
| V2020 |
Frames, purchases |
525 |
512 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
530 |
517 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
349 |
341 |
$6K |
| 92015 |
Determination of refractive state |
601 |
586 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
56 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
343 |
335 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$370.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$196.98 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
14 |
$0.00 |
| 1036F |
|
19 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21 |
18 |
$0.00 |