| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
112 |
104 |
$12K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
119 |
119 |
$5K |
| 92014 |
|
51 |
50 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
106 |
106 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
100 |
100 |
$2K |
| 92015 |
|
392 |
377 |
$2K |
| V2025 |
Deluxe frame |
46 |
46 |
$1K |
| 92012 |
|
16 |
15 |
$1K |
| G8785 |
Blood pressure reading not documented, reason not given |
721 |
662 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
567 |
533 |
$0.00 |
| 1036F |
|
649 |
596 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
40 |
35 |
$0.00 |