| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,252 |
1,177 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
871 |
804 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,526 |
2,389 |
$46K |
| 92015 |
Determination of refractive state |
2,499 |
2,335 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
234 |
211 |
$8K |
| V2020 |
Frames, purchases |
56 |
56 |
$913.00 |
| 92341 |
|
37 |
37 |
$535.72 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$476.00 |
| 92083 |
|
19 |
12 |
$384.60 |
| 92133 |
|
31 |
29 |
$342.18 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$338.00 |
| V2760 |
Scratch resistant coating, per lens |
16 |
16 |
$107.00 |
| 1036F |
|
234 |
222 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
234 |
222 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
234 |
222 |
$0.00 |