| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
531 |
511 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
272 |
269 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
179 |
173 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
69 |
$3K |
| 92002 |
|
54 |
45 |
$3K |
| V2756 |
Eye glass case |
371 |
357 |
$382.32 |
| 92015 |
Determination of refractive state |
12 |
12 |
$45.15 |
| 1036F |
|
54 |
52 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
40 |
$0.00 |