| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,392 |
8,171 |
$524K |
| V2020 |
Frames, purchases |
11,486 |
11,084 |
$495K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,928 |
5,591 |
$376K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,326 |
1,260 |
$116K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,132 |
1,995 |
$92K |
| 92015 |
Determination of refractive state |
12,411 |
11,905 |
$71K |
| 92002 |
|
563 |
556 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
92 |
89 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$752.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
55 |
30 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
63 |
39 |
$0.00 |
| 1036F |
|
63 |
39 |
$0.00 |