| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
757 |
606 |
$31K |
| 92015 |
Determination of refractive state |
339 |
273 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
38 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
57 |
57 |
$1K |
| V2020 |
Frames, purchases |
57 |
57 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
14 |
$950.90 |
| V2025 |
Deluxe frame |
29 |
29 |
$914.88 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
128 |
124 |
$435.41 |
| 1036F |
|
189 |
132 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
207 |
147 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
224 |
160 |
$0.00 |