| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,776 |
1,526 |
$86K |
| V2020 |
Frames, purchases |
2,026 |
1,939 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
268 |
250 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
933 |
538 |
$19K |
| 92015 |
Determination of refractive state |
3,434 |
3,057 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
94 |
73 |
$4K |
| 92370 |
|
48 |
43 |
$207.06 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
190 |
120 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
12 |
$0.00 |
| 1036F |
|
99 |
56 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
43 |
30 |
$0.00 |