| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
840 |
799 |
$49K |
| V2020 |
Frames, purchases |
1,390 |
1,135 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
135 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,324 |
1,051 |
$6K |
| 92015 |
Determination of refractive state |
1,274 |
1,209 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,290 |
1,016 |
$3K |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$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 |