| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,513 |
1,339 |
$119K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
889 |
696 |
$74K |
| 92015 |
Determination of refractive state |
3,130 |
2,627 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,630 |
2,258 |
$51K |
| V2020 |
Frames, purchases |
1,206 |
838 |
$27K |
| 92250 |
|
705 |
622 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
509 |
298 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
36 |
26 |
$418.00 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
13 |
$260.16 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
12 |
$116.94 |
| 1036F |
|
219 |
210 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
194 |
186 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
248 |
238 |
$0.00 |