| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,831 |
1,560 |
$133K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
514 |
416 |
$45K |
| 92015 |
Determination of refractive state |
2,674 |
2,313 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,797 |
1,545 |
$33K |
| V2020 |
Frames, purchases |
643 |
498 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
110 |
81 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
14 |
$155.92 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
25 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
12 |
12 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |