| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,275 |
1,214 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
693 |
680 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,422 |
1,354 |
$28K |
| 92015 |
Determination of refractive state |
2,086 |
1,986 |
$20K |
| V2020 |
Frames, purchases |
205 |
189 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
158 |
82 |
$764.64 |
| 92341 |
|
14 |
14 |
$376.58 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
383 |
182 |
$54.00 |
| 1036F |
|
151 |
142 |
$0.00 |
| 3072F |
|
183 |
178 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
64 |
60 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
40 |
39 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
152 |
137 |
$0.00 |