| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
933 |
916 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
249 |
247 |
$14K |
| 92015 |
Determination of refractive state |
861 |
852 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
180 |
180 |
$8K |
| V2020 |
Frames, purchases |
241 |
241 |
$7K |
| 92341 |
|
68 |
68 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$1K |
| 92250 |
|
54 |
54 |
$962.93 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$442.17 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$88.27 |
| G9905 |
Patient not screened for tobacco use |
493 |
473 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
206 |
196 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
212 |
212 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
46 |
46 |
$0.00 |