| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
741 |
703 |
$32K |
| 92015 |
Determination of refractive state |
2,419 |
2,201 |
$30K |
| V2020 |
Frames, purchases |
1,287 |
1,172 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
302 |
250 |
$11K |
| 92002 |
|
119 |
119 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
291 |
262 |
$6K |
| V2756 |
Eye glass case |
815 |
750 |
$792.51 |
| 1036F |
|
31 |
25 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
63 |
55 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
205 |
165 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
117 |
92 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
12 |
$0.00 |