| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
1,592 |
1,406 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
627 |
582 |
$37K |
| 92015 |
Determination of refractive state |
2,291 |
2,038 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
615 |
522 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
234 |
204 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,521 |
1,352 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
379 |
335 |
$10K |
| 1036F |
|
280 |
269 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
454 |
335 |
$6K |
| 92002 |
|
137 |
109 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
139 |
125 |
$284.42 |
| 2033F |
|
84 |
84 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
271 |
261 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
292 |
283 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
229 |
219 |
$0.00 |