| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,560 |
1,411 |
$137K |
| V2020 |
Frames, purchases |
1,198 |
1,108 |
$45K |
| 92015 |
Determination of refractive state |
1,702 |
1,558 |
$22K |
| V2755 |
U-v lens, per lens |
288 |
245 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
46 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
68 |
67 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
30 |
$2K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
12 |
$0.00 |
| 1036F |
|
50 |
41 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
23 |
16 |
$0.00 |