| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
649 |
606 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
354 |
327 |
$26K |
| V2020 |
Frames, purchases |
861 |
794 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
849 |
789 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
624 |
580 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
644 |
596 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
708 |
653 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
48 |
45 |
$726.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$499.25 |
| 92015 |
Determination of refractive state |
55 |
52 |
$20.00 |
| G9905 |
Patient not screened for tobacco use |
298 |
280 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
887 |
830 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
97 |
95 |
$0.00 |
| 1036F |
|
949 |
891 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
479 |
449 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
24 |
20 |
$0.00 |