| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,352 |
3,227 |
$215K |
| 92004 |
|
1,027 |
956 |
$80K |
| 92015 |
|
4,672 |
4,438 |
$63K |
| 92340 |
|
3,218 |
3,091 |
$55K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
409 |
368 |
$7K |
| V2020 |
Frames, purchases |
115 |
112 |
$5K |
| 99214 |
|
19 |
13 |
$444.68 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
12 |
$344.74 |
| 99213 |
|
17 |
13 |
$332.45 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
245 |
240 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
13 |
13 |
$0.00 |