| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,915 |
2,759 |
$237K |
| 92015 |
Determination of refractive state |
6,267 |
5,961 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
744 |
704 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,099 |
1,980 |
$50K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
376 |
354 |
$21K |
| V2020 |
Frames, purchases |
413 |
390 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
113 |
102 |
$6K |
| 92250 |
|
68 |
59 |
$1K |
| 92341 |
|
28 |
25 |
$683.29 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
117 |
109 |
$0.00 |
| 1036F |
|
125 |
116 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
110 |
105 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |