| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
643 |
633 |
$44K |
| 92014 |
|
698 |
692 |
$41K |
| V2020 |
Frames, purchases |
403 |
399 |
$8K |
| 92341 |
|
108 |
107 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
268 |
268 |
$2K |
| 92340 |
|
88 |
88 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$646.00 |
| 99214 |
|
14 |
13 |
$473.91 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$360.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,167 |
1,157 |
$0.00 |
| 4040F |
|
701 |
695 |
$0.00 |
| 92015 |
|
1,175 |
1,161 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
142 |
141 |
$0.00 |
| 4004F |
|
29 |
29 |
$0.00 |
| 1036F |
|
831 |
823 |
$0.00 |