| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,499 |
1,472 |
$84K |
| V2020 |
Frames, purchases |
983 |
927 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
193 |
190 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
351 |
317 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
136 |
121 |
$3K |
| V2756 |
Eye glass case |
583 |
557 |
$578.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$280.87 |
| 92015 |
Determination of refractive state |
663 |
651 |
$120.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
115 |
101 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
94 |
84 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 1036F |
|
652 |
606 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
101 |
92 |
$0.00 |