| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
250 |
211 |
$16K |
| 92015 |
Determination of refractive state |
492 |
445 |
$10K |
| V2020 |
Frames, purchases |
160 |
140 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
25 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
110 |
95 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
13 |
$418.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
12 |
$165.40 |
| 1036F |
|
132 |
130 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
77 |
75 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
77 |
77 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
162 |
159 |
$0.00 |