| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
525 |
520 |
$19K |
| 92004 |
|
155 |
155 |
$6K |
| V2020 |
Frames, purchases |
104 |
103 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
74 |
72 |
$2K |
| 92015 |
|
1,166 |
1,149 |
$937.35 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
47 |
45 |
$519.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
33 |
33 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
43 |
$0.00 |