| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
173 |
169 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
76 |
72 |
$4K |
| 92015 |
Determination of refractive state |
742 |
594 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
12 |
$185.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
248 |
231 |
$0.00 |
| 1036F |
|
165 |
154 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
122 |
112 |
$0.00 |