| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
612 |
576 |
$35K |
| V2020 |
Frames, purchases |
932 |
912 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
398 |
377 |
$27K |
| 92015 |
Determination of refractive state |
1,750 |
1,557 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
964 |
499 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
595 |
355 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38 |
38 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
338 |
309 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
30 |
30 |
$0.00 |
| 1036F |
|
30 |
30 |
$0.00 |