| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,007 |
1,005 |
$64K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
939 |
932 |
$40K |
| V2020 |
Frames, purchases |
1,468 |
1,436 |
$24K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
402 |
401 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
877 |
865 |
$16K |
| 92015 |
Determination of refractive state |
1,015 |
1,011 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
17 |
$255.75 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$175.15 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,302 |
1,290 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 1036F |
|
1,973 |
1,955 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,934 |
1,916 |
$0.00 |