| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,305 |
1,223 |
$123K |
| 92015 |
Determination of refractive state |
1,899 |
1,797 |
$74K |
| V2020 |
Frames, purchases |
1,929 |
1,828 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
784 |
757 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,693 |
1,613 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
164 |
158 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
716 |
497 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
106 |
$8K |
| 92250 |
|
68 |
64 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
37 |
$2K |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
491 |
464 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,308 |
1,203 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
292 |
269 |
$0.00 |
| 1036F |
|
552 |
513 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
172 |
163 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
295 |
261 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,365 |
1,226 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
14 |
12 |
$0.00 |