| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,962 |
1,877 |
$85K |
| 92015 |
Determination of refractive state |
2,090 |
2,011 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,609 |
1,576 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
325 |
302 |
$22K |
| V2020 |
Frames, purchases |
1,783 |
1,697 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
745 |
407 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
267 |
238 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
216 |
119 |
$2K |
| 92250 |
|
13 |
12 |
$319.80 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
151 |
129 |
$91.64 |
| 1036F |
|
40 |
38 |
$0.00 |
| 2026F |
|
14 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
40 |
38 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
12 |
$0.00 |