| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
215 |
210 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
91 |
91 |
$11K |
| 92015 |
Determination of refractive state |
457 |
444 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$716.16 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
168 |
165 |
$0.00 |
| 1036F |
|
168 |
165 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
114 |
111 |
$0.00 |