| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
558 |
522 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
274 |
270 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
143 |
139 |
$8K |
| 92015 |
Determination of refractive state |
505 |
493 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
515 |
475 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
506 |
466 |
$3K |
| G8785 |
Blood pressure reading not documented, reason not given |
25 |
25 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |