| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
755 |
754 |
$59K |
| V2020 |
Frames, purchases |
1,338 |
1,318 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
646 |
591 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
272 |
270 |
$27K |
| 92015 |
Determination of refractive state |
1,052 |
1,047 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
418 |
274 |
$4K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
51 |
51 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
47 |
25 |
$1K |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
12 |
12 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
55 |
54 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
26 |
26 |
$0.00 |