| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
499 |
492 |
$36K |
| V2020 |
Frames, purchases |
882 |
866 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
456 |
444 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
851 |
837 |
$17K |
| 92015 |
Determination of refractive state |
1,078 |
1,057 |
$11K |
| 92341 |
|
235 |
231 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
574 |
389 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
26 |
26 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
134 |
91 |
$657.60 |
| V2756 |
Eye glass case |
14 |
14 |
$0.81 |
| 1036F |
|
659 |
636 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
584 |
564 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
199 |
191 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
648 |
631 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
430 |
417 |
$0.00 |
| 4004F |
|
113 |
109 |
$0.00 |