| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,082 |
1,040 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
474 |
459 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
225 |
218 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
205 |
202 |
$10K |
| 92015 |
Determination of refractive state |
1,242 |
1,189 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
48 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38 |
37 |
$0.00 |
| 1036F |
|
54 |
51 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
54 |
51 |
$0.00 |