| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
672 |
650 |
$18K |
| 92015 |
Determination of refractive state |
1,277 |
1,228 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
239 |
234 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
28 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
14 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
55 |
55 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
24 |
$666.38 |
| 1036F |
|
143 |
139 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
143 |
139 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
70 |
69 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
420 |
414 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
67 |
67 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
34 |
33 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
15 |
15 |
$0.00 |