| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
308 |
287 |
$13K |
| V2020 |
Frames, purchases |
507 |
457 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
75 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
135 |
92 |
$4K |
| 92015 |
Determination of refractive state |
920 |
866 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
127 |
66 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
42 |
29 |
$807.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$158.88 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
173 |
145 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
59 |
52 |
$0.00 |
| 1036F |
|
52 |
42 |
$0.00 |