| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
720 |
631 |
$32K |
| V2020 |
Frames, purchases |
785 |
723 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
301 |
194 |
$7K |
| 92015 |
Determination of refractive state |
1,582 |
1,398 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
148 |
138 |
$6K |
| 92250 |
|
91 |
55 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
13 |
$1K |
| 92002 |
|
16 |
15 |
$720.74 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
13 |
$0.00 |
| 4004F |
|
18 |
13 |
$0.00 |