| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,399 |
3,145 |
$269K |
| 92015 |
Determination of refractive state |
4,383 |
3,966 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,597 |
3,332 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
541 |
521 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
320 |
284 |
$16K |
| V2020 |
Frames, purchases |
604 |
537 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
143 |
122 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
36 |
$331.33 |
| 1036F |
|
56 |
54 |
$11.99 |
| 3072F |
|
79 |
76 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
105 |
101 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
28 |
27 |
$0.00 |