| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,467 |
5,209 |
$225K |
| 92014 |
|
3,032 |
2,608 |
$154K |
| V2760 |
Scratch resistant coating, per lens |
5,171 |
4,947 |
$99K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,642 |
2,493 |
$96K |
| 92015 |
|
7,133 |
6,369 |
$37K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,192 |
3,050 |
$30K |
| 92004 |
|
255 |
236 |
$22K |
| 92012 |
|
193 |
186 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
112 |
107 |
$5K |
| 1036F |
|
105 |
105 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
94 |
94 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
20 |
20 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
24 |
24 |
$0.00 |