| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
762 |
718 |
$43K |
| V2020 |
Frames, purchases |
994 |
951 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
118 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
662 |
333 |
$9K |
| 92015 |
Determination of refractive state |
2,103 |
1,764 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
282 |
176 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
637 |
578 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |
| 1036F |
|
288 |
254 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
231 |
200 |
$0.00 |