| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,805 |
2,472 |
$161K |
| V2020 |
Frames, purchases |
1,899 |
1,673 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,080 |
688 |
$34K |
| 92015 |
Determination of refractive state |
2,864 |
2,524 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
287 |
261 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
548 |
284 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
13 |
$850.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$407.22 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
914 |
743 |
$0.00 |
| 1036F |
|
610 |
491 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |