| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
381 |
287 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
517 |
394 |
$11K |
| 92015 |
Determination of refractive state |
1,386 |
1,096 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
145 |
69 |
$3K |
| 92002 |
|
32 |
29 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
32 |
25 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,547 |
1,130 |
$0.00 |
| 1036F |
|
1,543 |
1,138 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
599 |
415 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
23 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
589 |
456 |
$0.00 |