| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,466 |
1,409 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,950 |
1,897 |
$107K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,277 |
1,258 |
$23K |
| 92250 |
|
278 |
263 |
$4K |
| 92015 |
Determination of refractive state |
475 |
428 |
$180.39 |
| 1036F |
|
86 |
86 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
44 |
42 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
184 |
182 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
79 |
79 |
$0.00 |