| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
687 |
512 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
380 |
286 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
343 |
272 |
$8K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
70 |
64 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
536 |
428 |
$4K |
| 92015 |
Determination of refractive state |
742 |
537 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
27 |
$2K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
747 |
521 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
970 |
640 |
$0.00 |
| 1036F |
|
977 |
651 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
23 |
12 |
$0.00 |